Individual
BRIAN E THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7170
(816) 698-7194
Mailing address
PO BOX 838, SHAWNEE MISSION, KS 66201-0838
(913) 469-4244
(913) 469-1939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2004029188
MO
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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