Individual
KELSEY RAE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1919 LATHROP ST, FAIRBANKS, AK 99701-5937
(907) 459-3545
(907) 328-0474
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
(218) 851-1089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
219359
AK
363A00000X
Physician Assistant
PA61147861
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1748788
—
AK
Enumeration date
01/28/2020
Last updated
02/17/2026
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