Individual
KEITH S THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2307
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29386
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3065352
BLUE CROSS BLUE SHIELD OF
TN
05
—
5440472
—
TN
Enumeration date
09/22/2005
Last updated
02/07/2024
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