Individual
KIRK LEON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 252-2000
Mailing address
PO BOX 5040, OROVILLE, CA 95966
(530) 532-8584
(530) 532-8433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
628982RN#
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
ANESTHETIST#3046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN6289820
—
CA
Enumeration date
05/23/2006
Last updated
06/10/2024
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