Most Relevant Information
Provider Data
| NPI Number: | 1003464710 |
| Provider Name: | KIMBERLY THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2019 |
| Last Updated: | 08/27/2019 |
Provider Practice Location
3410 DALE ST
FORT MYERS
FL
339164410
Practice Location Phone/Fax
| Phone: | 2398783946 |
| Fax: |
Provider Mailing Location
PO BOX 50815
FORT MYERS
FL
339940815
Provider Mailing Phone/Fax
| Phone: | 2398783946 |
| Fax: |