Provider Demographics
NPI:1033555354
Name:THOMAS, KATHERINE CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:CAROL
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4550 CALIFORNIA AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7012
Mailing Address - Country:US
Mailing Address - Phone:661-716-7100
Mailing Address - Fax:661-716-5484
Practice Address - Street 1:4550 CALIFORNIA AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7012
Practice Address - Country:US
Practice Address - Phone:661-716-7100
Practice Address - Fax:661-716-5484
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA135391207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program