Provider Demographics
NPI:1003604356
Name:THORNE, KESHIA
Entity type:Individual
Prefix:
First Name:KESHIA
Middle Name:
Last Name:THORNE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 FLAT RIVER DR APT 110
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-5347
Mailing Address - Country:US
Mailing Address - Phone:919-943-3372
Mailing Address - Fax:
Practice Address - Street 1:1706 FLAT RIVER DR APT 110
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-5347
Practice Address - Country:US
Practice Address - Phone:919-943-3372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical