Individual
DR. KYLE JOSEPH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1309 SHELDON RD, GRAND HAVEN, MI 49417-2488
(616) 403-5539
Mailing address
227 HENRY AVE SE APT 3, GRAND RAPIDS, MI 49503-5801
(815) 404-6595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411906
MI
Other
Enumeration date
10/18/2018
Last updated
09/23/2021
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