Individual
DR. KRISTEN M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
26 SOUTH URBANA ST., SOUTH VIENNA, OH 45369-0000
(937) 568-7200
Mailing address
26 SOUTH URBANA ST., PO BOX 190, SOUTH VIENNA, OH 45369-0000
(937) 568-7200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5107
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330233
ANEHEM
OH
Enumeration date
07/13/2006
Last updated
06/09/2009
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