IndividualActive
Kevin Thomas
NPI 1316340615 · Independent Duty Corpsman · Libertyville, IL
Provider details
- NPI number
- 1316340615
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
1126 Furlong Dr
Libertyville, IL 60048-3701
Registry dates
- Enumerated
- 2014-09-30
- Last updated
- 2014-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.