| NPI | 1508909938 |
|---|---|
| Former Legal Business Name | KENNETH THOM |
| Entity Type | Organization |
| Authorized Contact | KENNETH T THOM President 660-562-2531 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 002237) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 002237) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-06-25 |