Individual
KELLY LAUREN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 W STONE DR, SUITE 110, KINGSPORT, TN 37660-6027
(423) 224-3701
(423) 224-3709
Mailing address
160 FOREST LN N, BLOUNTVILLE, TN 37617-6452
(423) 483-1617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14871
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518455
—
TN
05
—
1689998403
—
VA
Enumeration date
03/23/2010
Last updated
03/23/2023
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