Individual
JOEL C THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM ROAD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
32399
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0441986
STATE MEDICAL LICENSE
KS
01
—
2019008076
STATE MEDICAL LICENSE
MO
Enumeration date
03/19/2010
Last updated
01/20/2022
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