Thomas, Kevin A

Thomas, Kevin A is an individual health care provider with primary practice located at 675 N Broad Street Ext Suite 4, Grove City PA 16127-5805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thomas, Kevin A can be contacted via phone (724) 458-8754.

Contact Information

Primary practice address
675 N Broad Street Ext Suite 4 Grove City PA 16127-5805
Fax: (724) 662-2782
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS010254L Pennsylvania

Profile Details

NPI number 1548359391
LBN Legal business name Thomas, Kevin A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 3rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548359391 NPPES
Pennsylvania MEDICAID 1866468

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