1881360451 NPI number — KAITLIN MESKE THORNTON

Table of content: KAITLIN MESKE THORNTON (NPI 1881360451)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881360451 NPI number — KAITLIN MESKE THORNTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THORNTON
Provider First Name:
KAITLIN
Provider Middle Name:
MESKE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881360451
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/14/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6033 W I 20
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76017-1042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-483-1746
Provider Business Mailing Address Fax Number:
817-483-5874

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
524 E LAMAR BLVD STE 130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76011-3929
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-483-1746
Provider Business Practice Location Address Fax Number:
817-483-5874
Provider Enumeration Date:
08/23/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  1350094 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1350094 . This is a "PT LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".