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Individual

MRS. KRISTIN DAWKINS THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
120 N EAGLE CREEK DR, SUITE 360, LEXINGTON, KY 40509-1827
(859) 258-5270
(859) 258-5202
Mailing address
120 N EAGLE CREEK DR, STE 360, LEXINGTON, KY 40509-1827
(859) 258-5270
(859) 258-5202

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004218
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37903705
MEDICIAD LAB GROUP
KY
01
4000501
MEDICARE LAB GROUP
KY
05
78011384
KY
01
CB5773
RR MEDICARE GROUP
KY
01
P00246492
RR MEDICARE PIN
Enumeration date
09/13/2006
Last updated
03/28/2013
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