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Individual

KELLY LEE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5731 CHAMPION CT, ARLINGTON, TX 76017-4213
(619) 961-6753
Mailing address
5731 CHAMPION CT, ARLINGTON, TX 76017-4213
(619) 961-6753

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3132
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
707870
TX

Other

Enumeration date
03/09/2006
Last updated
11/29/2021
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