Individual
BRIA M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 JAY ST, STANFORD, KY 40484-7511
(859) 365-1547
Mailing address
100 JAY ST, STANFORD, KY 40484-7511
(859) 365-1547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
561008171
MI
363A00000X
Physician Assistant
Primary
TC624
KY
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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