Kelly Marie Thomason MSPA-C

NPI 1023087426 - Physician Assistant - 363A00000X

NPI Details
NPI 1023087426
Gender Female
Enumeration Date 03/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12327 STRATFORD DR
CLIVE IA, 50325-8148, US
Phone (515) 224-7088
Fax (515) 224-9228
Business Location
12327 STRATFORD DR
CLIVE IA, 50325-8148, US
Phone (515) 224-7088
Fax (515) 224-9228
Toxanomy
Taxonomy Code 363A00000X
License State Iowa
License Number 001665
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According to our database, Kelly Marie Thomason MSPA-C NPI is 1023087426, taxonomy code is 363A00000X and license number is 001665, license state is located at Iowa. Kelly Marie Thomason MSPA-C physically located at 12327 Stratford Dr, Clive IA, 50325-8148. NPI Number Kelly Marie Thomason MSPA-C has the Individual type.

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1023087426 NPI number is provided on an as is basis without warranty of any kind. 1023087426 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Marie Thomason MSPA-C are for informational purposes only.