Kitty Thacker
Specialist • Camp Verde, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kitty Thacker has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kitty Thacker was a registered Specialist practicing in Camp Verde, AZ. Throughout an active medical career spanning 12 years, Kitty Thacker provided care at the practice location at 3120 E LAZAR RD until profile deactivation on 2018-07-25.
Practice Location & Contact Primary Location
3120 E Lazar Rd
Camp Verde, AZ 863226125
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Camp Verde, AZ
Practicing in Camp Verde, AZ (826 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 25, 2018
NPI status registered as active in NPPES database
Registered at 3120 E LAZAR RD, CAMP VERDE, AZ 863226125 (Tel: 9285677048)
Registered at PO BOX 1748, CAMP VERDE, AZ 86322 (Tel: 9285677048)
Recorded as KITTY THACKER
Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 1748
Camp Verde, AZ 86322
Phone: 9285677048
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