Individual
KELLY ELIZABETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1037 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1727
(206) 842-9890
(206) 780-1982
Mailing address
6535 NE WILLIAMS LN, BAINBRIDGE ISLAND, WA 98110-6207
(206) 855-1796
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5057726
—
WA
Enumeration date
11/07/2006
Last updated
07/09/2007
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