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Individual

KELLY THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM FNP

Contact information

Practice address
50 HOSPITAL DR, SUITE 4A, HENDERSONVILLE, NC 28792-5248
(828) 650-8077
(828) 651-0194
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
113835
NC
367A00000X
Advanced Practice Midwife
Primary
113835
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15785
BCBS OF NC
NC
05
7002047
NC
Enumeration date
09/30/2005
Last updated
12/06/2016
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