Individual
ELIOT LLOYD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 DUTCHMANS PKWY, SUITE 15, LOUISVILLE, KY 40205-3340
(502) 895-0524
(502) 897-5798
Mailing address
PO BOX 950293, LOUISVILLE, KY 40295-0293
(502) 895-0524
(502) 897-5798
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29736
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051845
ANTHEM
KY
01
—
1049502
PASSPORT
KY
05
—
64297369
—
KY
Enumeration date
01/19/2007
Last updated
05/26/2016
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