Individual
KATHLEEN G. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5000
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
PA10003079
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8399537
—
WA
Enumeration date
01/22/2007
Last updated
05/07/2008
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