Thrasher, Kenneth Douglas

Thrasher, Kenneth Douglas is an individual health care provider with primary practice located at 45280 Seeley Dr Argyros Health Center, 2Nd Floor, La Quinta CA 92253-6834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thrasher, Kenneth Douglas can be contacted via phone (760) 834-7920.

Contact Information

Primary practice address
45280 Seeley Dr Argyros Health Center, 2Nd Floor La Quinta CA 92253-6834
Phone: (760) 834-7920
Fax: (760) 834-7921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102201120 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP60091631 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A11578 California

Profile Details

NPI number 1184782302
LBN Legal business name Thrasher, Kenneth Douglas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Mar 7th, 2023 - about 3 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 1184782302 NPPES
Washington MEDICAID 005616166
Washington MEDICAID 005616166

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