Individual provider · Type 1 NPI

Kiesha Thomas

Contractor · St. Louis, MO

NPI number 1508737206 Active

Practice location

2932 Hickory St
St. Louis, MO 63104-1817

Specialties and licenses

Taxonomy	Code	License
Meals Provider	174200000X	None listed
Health & Wellness Coach	171400000X	None listed
Contractor Primary	171W00000X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Peer Specialist	175T00000X	None listed
Home Delivered Meals	332U00000X	None listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1508737206

Kiesha Thomas's National Provider Identifier is 1508737206, issued on Sep 16, 2025. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 19, 2025.