Individual
JOANNA RAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
(502) 624-9007
Mailing address
137 E EASTERN HILLS BLVD, SALEM, IN 47167-9719
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
1631
KY
Other
Enumeration date
03/15/2008
Last updated
03/15/2008
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