Kendol Kirk Thomas
Pulmonary Disease Critical Care Medicine
5126 Hospital Dr Ne
Covington
, Georgia 30014-2566
Kendol Kirk Thomas
Pulmonary Disease Critical Care Medicine
5126 Hospital Dr Ne
Covington
, Georgia 30014-2566
(302) 629-6611
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Kendol Kirk Thomas
- 100 Rawlins Dr Nanticoke Physician Network
- Seaford, DE
- Zip : 19973-5881
- Phone : (302) 629-6611
Second Address
- Kendol Kirk Thomas
- 5126 Hospital Dr Ne
- Covington, GA
- Zip : 30014-2566
- Phone : (404) 605-5478
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | 88074 | GA |
| N | 207RC0200X | Critical Care Medicine | C1-0011593 | DE |
| N | 207RP1001X | Pulmonary Disease | C1-0011593 | DE |
National Provider Identifier
| NPI | 1013357375 |
|---|---|
| Provider Name | Kendol Kirk Thomas |
| First Address | Seaford, DE 19973-5881 |
| Second Address | Covington, GA 30014-2566 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2013 |
| Last Update Date | 28/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.