Individual
KELLY ANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6395
(732) 222-5200
Mailing address
163 OLD ORCHARD LN, OCEAN, NJ 07712-2577
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR1680600
NJ
Other
Enumeration date
06/09/2022
Last updated
11/10/2025
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