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Individual
KENNETH ARTHUR THOMPSON
Active
Individual
KENNETH ARTHUR THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
1032
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
2020-02536
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204502
UNISON
SC
05
—
010321
—
SC
01
—
0165925
GHI
SC
01
—
408253
WELLCARE
SC
01
—
5502655
AETNA
SC
05
—
5905507
—
NC
05
—
GP4505
—
SC
01
—
P00689014
RR MEDICARE
SC
Enumeration date
08/01/2006
Last updated
06/13/2023
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