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Individual

BRUCE D THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
310 S LIMESTONE, LEXINGTON, KY 40508-3008
(859) 252-6612
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95262
NC
367500000X
Certified Registered Nurse Anesthetist
038976
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
3010288
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8049952
NC
Enumeration date
11/16/2006
Last updated
05/25/2016
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