Thomas, Kelly B

Thomas, Kelly B is an individual health care provider with primary practice located at 1830 Blake Ave , Glenwood Springs CO 81601-4275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Thomas, Kelly B can be contacted via phone (970) 945-8503.

Contact Information

Primary practice address
1830 Blake Ave Glenwood Springs CO 81601-4275
Phone: (970) 945-8503
Fax: (970) 945-0253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 47625 Minnesota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35743 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME98103 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 46320 Colorado

Profile Details

NPI number 1659343689
LBN Legal business name Thomas, Kelly B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 31st, 2009 - about 17 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 1659343689 NPPES
Arizona MEDICAID 139737
Arizona MEDICAID 992630500

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