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Individual

CAROL B THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3475 RICHMOND RD STE 200, LEXINGTON, KY 40509-2500
(859) 296-4400
Mailing address
3475 RICHMOND RD STE 200, LEXINGTON, KY 40509-2500
(859) 296-4400

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
R3056
KY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
48856
KY

Other

Enumeration date
05/09/2012
Last updated
10/02/2017
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