Individual
JULIE THERESA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
308 W STOLP AVE, MEDICINE LODGE, KS 67104-1268
(620) 213-2414
Mailing address
308 W STOLP AVE, MEDICINE LODGE, KS 67104-1268
(620) 213-2414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2158
OK
133V00000X
Registered Dietitian
Primary
2987
KS
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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