Healthcare Provider Details

I. General information

NPI: 1407772502
Provider Name (Legal Business Name): KARA A THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 E 30TH ST
LORAIN OH
44055-1600
US

IV. Provider business mailing address

421 GRAHAM RD STE I
CUYAHOGA FALLS OH
44221-1344
US

V. Phone/Fax

Practice location:
  • Phone: 330-384-1555
  • Fax:
Mailing address:
  • Phone: 330-384-1555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: