Individual
DR. JENNIFER ELIZABETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 E CHESTNUT ST # STREET1, LOUISVILLE, KY 40202-1713
(502) 588-3440
(502) 588-3441
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.120254
IL
208000000X
Pediatrics Physician
Primary
45995
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100256650
—
KY
Enumeration date
05/27/2008
Last updated
09/07/2021
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