Individual
DR. KENNETH GEORGE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15709 SHADOW MTN DR, EDMOND, OK 73013
(405) 844-4072
(405) 844-3021
Mailing address
15709 SHADOW MTN DR, EDMOND, OK 73013
(405) 844-4072
(405) 844-3021
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9621
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10015160A
—
OK
Enumeration date
05/30/2006
Last updated
01/04/2012
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