Provider Demographics
NPI:1801114756
Name:RESK, THOMAS KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:KEVIN
Last Name:RESK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-5916
Mailing Address - Country:US
Mailing Address - Phone:530-343-9816
Mailing Address - Fax:530-343-9919
Practice Address - Street 1:1155 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5916
Practice Address - Country:US
Practice Address - Phone:530-343-9816
Practice Address - Fax:530-343-9919
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-16
Last Update Date:2010-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG29886207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology