Individual
DR. MATTHEW PIERCE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
231 E CHESTNUT ST, PATHOLOGY DEPT, LOUISVILLE, KY 40202-1821
(502) 456-2008
(502) 456-4440
Mailing address
1941 BISHOP LN STE 1018, LOUISVILLE, KY 40218-1928
(502) 456-6211
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
03341
KY
207ZP0213X
Pediatric Pathology Physician
03341
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000735448
ANTHEM BC/BS
KY
05
—
201039650A
—
IN
01
—
50036301
PASSPORT
KY
05
—
7100197400
—
KY
Enumeration date
07/18/2007
Last updated
02/22/2021
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