| Kc Thomas Psychiatry Services Llc | |
|
5920 Coliseum Blvd Alexandria LA 71303-3714 | |
| (337) 852-9285 | |
| Not Available |
| Full Name | Kc Thomas Psychiatry Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5920 Coliseum Blvd, Alexandria, Louisiana |
| Authorized Official Name and Position | Kristina Christophe Thomas (NURSE PRACTITIONER) |
| Authorized Official Contact | 3378529285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Thomas Psychiatry Services Llc 626 Broad St Lake Charles LA 70601-4337 Ph: (337) 852-9285 | Kc Thomas Psychiatry Services Llc 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (337) 852-9285 |
| NPI Number | 1245039189 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Medicare PECOS PAC ID | 3870018260 |
|---|---|
| Medicare Enrollment ID | O20250417003114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245039189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kristina Christophe Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568276343 PECOS PAC ID: 4789109174 Enrollment ID: I20250417003201 |
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