Individual provider · Type 1 NPI

Carly Elizabeth Thacker

Student in an Organized Health Care Education/Training Program · Lawrence, KS

NPI number 1831005321 Active

Practice location

2010 Becker Dr
Lawrence, KS 66047-1620

Call (816) 800-1454 Map

Mailing address

5401 Rock Chalk Dr Apt 7206
Lawrence, KS 66049-5077

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3-123356 (KS)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831005321

Carly Elizabeth Thacker's National Provider Identifier is 1831005321, issued on Aug 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lawrence, KS. The record was last updated on Aug 24, 2026.