Individual
DR. MISTY DANIELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1019 CUMBERLAND FALLS HWY STE D141, CORBIN, KY 40701-2796
(606) 528-5527
(606) 526-9687
Mailing address
210 BLACK GOLD BLVD, SUITE 212, HAZARD, KY 41701-2620
(606) 439-0326
(606) 439-0475
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3528
KY
207V00000X
Obstetrics & Gynecology Physician
655
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100210760
—
KY
Enumeration date
08/15/2008
Last updated
01/17/2019
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