Thayer, Kent H

Thayer, Kent H is an individual health care provider with primary practice located at 75 Printers Pkwy , Colorado Springs CO 80910-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Thayer, Kent H can be contacted via phone (719) 634-1994.

Contact Information

Primary practice address
75 Printers Pkwy Colorado Springs CO 80910-3151
Phone: (719) 634-1994
Fax: (719) 634-2906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 18431 Colorado

Profile Details

NPI number 1710985973
LBN Legal business name Thayer, Kent H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Mar 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710985973 NPPES
Colorado MEDICAID 01184316

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