Individual
MS. KALIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
817 COMMERCIAL ST, LEAVENWORTH, WA 98826-1316
(509) 548-5815
(509) 548-2510
Mailing address
817 COMMERCIAL ST, LEAVENWORTH, WA 98826-1316
(509) 548-5815
(509) 548-2510
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61033534
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154960
—
WA
Enumeration date
02/27/2020
Last updated
05/01/2025
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