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DR. KYLE JACOB THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1750 E KEN PRATT BLVD FL 3, LONGMONT, CO 80504-5311
(720) 718-3930
(720) 718-0999
Mailing address
1750 E KEN PRATT BLVD FL 3, LONGMONT, CO 80504-5311
(720) 718-3930
(720) 718-0999

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0059732
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0005394
CO

Other

Enumeration date
06/30/2014
Last updated
10/15/2020
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