Individual
JEANNE M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 AUDUBON PLAZA DR, LL2, LOUISVILLE, KY 40217-1319
(502) 636-8095
(502) 636-8097
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 969-6552
(502) 969-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01052521
IN
207RB0002X
Obesity Medicine (Internal Medicine) Physician
41076
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000520350
ANTHEM- NORTON CMA
KY
01
—
086789
SIHO- NORTON CMA
KY
01
—
200249650
MEDICAID INDIANA- NORTON CMA
IN
01
—
2852889000
PASSPORT ADVANTAGE- NORTON CMA
KY
01
—
50015382
PASSPORT- NORTON CMA
KY
05
—
7100008310
—
KY
01
—
9740797
CIGNA- NORTON CMA
KY
01
—
P00400038
RAILROARD MEDICARE - KY
KY
Enumeration date
07/18/2006
Last updated
07/20/2015
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