Individual
DR. KERRY J. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 MEDICAL PKWY, SUITE #235, ANNAPOLIS, MD 21401-3046
(410) 266-2770
(410) 841-6251
Mailing address
2002 MEDICAL PKWY, SUITE #235, ANNAPOLIS, MD 21401-3046
(410) 266-2770
(410) 841-6251
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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