Individual
KEITH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
143 KENNEDY DR, SUITE A, MARTIN, TN 38237-3309
(731) 587-5321
(731) 587-2145
Mailing address
143 KENNEDY DR, SUITE A, MARTIN, TN 38237-3309
(731) 587-5321
(731) 587-2145
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18049
MS
208600000X
Surgery Physician
Primary
29386
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188621
UNISON
TN
05
—
07375201
—
MS
01
—
36655
TLC
TN
05
—
3815542
—
TN
01
—
4128847
BCBS
TN
01
—
4383459
AETNA
TN
Enumeration date
03/24/2006
Last updated
10/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us