Individual
KEALANALANI R THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 N RAINBOW BLVD, SUITE 203, LAS VEGAS, NV 89107-1082
(702) 259-1228
(702) 259-1252
Mailing address
500 N RAINBOW BLVD, SUITE 203, LAS VEGAS, NV 89107-1082
(702) 259-1228
(702) 259-1252
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12769
HI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
12506
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55426301
—
HI
Enumeration date
06/30/2006
Last updated
01/21/2015
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