Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 0102202396 | VA |
NPI | 1013091339 |
---|---|
Provider Name | Karen M Thomas |
First Address | Virginia Beach, VA 23456-0168 |
Second Address | Virginia Beach, VA 23456-0168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 02/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2333755 | (05) | OH |
H65462 | (02) | OH |