Clinton Thomas, R.N.

Individual provider Active NPI Registered Nurse · Valley Falls, KS

NPI 1831622232 · NPPES record last updated Apr 4, 2017

Key facts

NPI
1831622232
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
13-138222-022 (KS)
Practice address
6795 Half Mound Rd
Valley Falls, KS 66088-4054
Phone
(785) 817-4178
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
13-138222-022KSMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-138222-022 KS Yes

Addresses

Primary practice location

6795 Half Mound Rd
Valley Falls, KS 66088-4054

Mailing address

6795 Half Mound Rd
Valley Falls, KS 66088-4054
Phone (785) 817-4178

Other providers in Valley Falls, KS

All providers in Valley Falls, KS · Registered Nurse in Kansas

Sources for this page

Verify at the official NPI Registry.