Individual
KIMO QUINCY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-6743
Mailing address
PO BOX 198054, ATLANTA, GA 30384-1086
(786) 594-6880
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11020755
FL
363LA2100X
Acute Care Nurse Practitioner
11020755
FL
Other
Enumeration date
07/27/2022
Last updated
01/26/2023
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