Individual
ROGER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 S 18TH ST, PARSONS, KS 67357-3365
(620) 421-2014
(620) 421-2941
Mailing address
PO BOX 721, PARSONS, KS 67357-0721
(620) 421-2014
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
200392920A
KS
251S00000X
Community/Behavioral Health Agency
Primary
200392920A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200392920A
—
KS
Enumeration date
10/11/2013
Last updated
10/11/2013
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