Provider Demographics
NPI:1912011743
Name:THOMAS, KATHY LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:LYNN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4300 W 7TH ST
Mailing Address - Street 2:LR/115
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5446
Mailing Address - Country:US
Mailing Address - Phone:501-257-6100
Mailing Address - Fax:501-257-6114
Practice Address - Street 1:4300 W 7TH ST
Practice Address - Street 2:LR/115
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5446
Practice Address - Country:US
Practice Address - Phone:501-257-6100
Practice Address - Fax:501-257-6114
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC-6581207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARF28850Medicare UPIN
AR52153Medicare ID - Type Unspecified