Individual
MRS. KELCIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 WEST AVE, TALLMADGE, OH 44278-2250
(330) 633-7090
(330) 633-8462
Mailing address
145 WEST AVE, TALLMADGE, OH 44278-2250
(330) 633-7090
(330) 633-8462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004853RX
OH
Other
Enumeration date
09/16/2016
Last updated
12/28/2020
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