Individual
KIMBERLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 523-8521
Mailing address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 523-8521
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3014941
KY
Other
Enumeration date
08/12/2020
Last updated
03/20/2021
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