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Individual
DR. KERRY J. THOMPSON
Active
Individual
DR. KERRY J. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
D0023766
MD
2085R0204X
Vascular & Interventional Radiology Physician
D0023766
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10690012
BCBS
MD
01
—
2622593
AETNA HMO/POS
MD
01
—
300014359
TRAVELERS RR MEDICARE
MD
05
—
339791200
—
MD
01
—
8317071
AETNA PPO
MD
01
—
A15
AAD PG COUNTY
MD
01
—
E545
AAD SHIPLEYS
MD
Enumeration date
10/31/2005
Last updated
02/27/2009
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