Individual
KYLE G THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3406 W SAN JUAN ST APT A, TAMPA, FL 33629-8051
(727) 809-3867
Mailing address
3406 W SAN JUAN ST APT A, TAMPA, FL 33629-8051
(727) 809-3867
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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