Individual
KENNETH C THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4786 GATEWAY DRIVE, MEDINA, OH 44256
(216) 376-2637
Mailing address
4786 GATEWAY DRIVE, MEDINA, OH 44256
(216) 376-2637
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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