Individual
KIMBERLY D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3105 MCCLELLAND BLVD., JOPLIN, MO 64804
(417) 347-5400
(417) 347-0620
Mailing address
3105 MCCLELLAND BLVD., JOPLIN, MO 64804
(417) 347-5400
(417) 347-0620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018002580
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506033406
—
MO
Enumeration date
01/25/2018
Last updated
07/30/2019
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