Individual
KIMBERLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
1520 MARTIN PIERCE RD, CUB RUN, KY 42729-7679
(270) 524-1084
Mailing address
1520 MARTIN PIERCE RD, CUB RUN, KY 42729-7679
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4509
KY
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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