Individual
MRS. KELCEY RENEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 SOUTH JACKSON STREET, LOUISVILLE, KY 40202
(502) 562-4370
Mailing address
P.O. BOX 909, LOUISVILLE, KY 40201
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009585
KY
Other
Enumeration date
12/01/2015
Last updated
03/30/2016
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