Individual
KIMBERLY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 STONEHENGE CIR UNIT11, PIKESVILLE, MD 21208
(443) 286-9844
Mailing address
25 STONEHENGE CIR APT 11, PIKESVILLE, MD 21208-3244
(443) 286-9844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06267
MD
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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