Provider Demographics
NPI:1841769700
Name:THOMAS, STEPHEN FORREST (APRN)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:FORREST
Last Name:THOMAS
Suffix:
Gender:M
Credentials:APRN
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Mailing Address - Street 1:PO BOX 1595
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-1595
Mailing Address - Country:US
Mailing Address - Phone:606-408-6200
Mailing Address - Fax:606-408-6612
Practice Address - Street 1:10015 US 23
Practice Address - Street 2:
Practice Address - City:CATLETTSBURG
Practice Address - State:KY
Practice Address - Zip Code:41129-1091
Practice Address - Country:US
Practice Address - Phone:606-739-6095
Practice Address - Fax:606-739-8252
Is Sole Proprietor?:No
Enumeration Date:2018-11-20
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024016363LF0000X
WV58355363LF0000X
KY3012929363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily