Individual
KENNEN B THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 SW 7TH ST, TOPEKA, KS 66606-2489
(785) 295-5346
(785) 231-5930
Mailing address
PO BOX 1657, TOPEKA, KS 66601-1657
(785) 295-8108
(785) 231-5991
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-26469
KS
207Q00000X
Family Medicine Physician
426469
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191300B
—
KS
Enumeration date
07/19/2005
Last updated
09/15/2009
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