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Individual

KATHRYN M THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1753 W RIDGEWAY AVE STE 111, WATERLOO, IA 50701
(319) 833-5970
(319) 833-5971
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 233-1630

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
147001127
IL
231H00000X
Audiologist
Primary
558
IA
237700000X
Hearing Instrument Specialist
865
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0236778
IA
01
05573
NATIONAL EAR CARE PLAN
IA
01
211928
IOWA HEALTH SOLUTIONS
IA
Enumeration date
07/27/2006
Last updated
09/14/2018
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