KELLY THOMACK NPI 1750796488

NPI Information

NPI: 1750796488
Provider Name: KELLY THOMACK
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5471 W WATERFORD LN
APPLETON, WI
ZIP 54913
Phone: (920) 731-7445
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Kelly Thomack is a professional counselor in Appleton, WI. Kelly Thomack NPI is 1750796488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5471 W WATERFORD LN
APPLETON, WI
ZIP 54913-510
Phone: (920) 731-7445
Fax: (920) 731-7490

The enumeration date for this NPI number is 6/20/2014 and was last updated on 7/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	5455-125	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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