Individual
MR. ELLIS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 ABRAHAM FLEXNER WAY STE 100, LOUISVILLE, KY 40202-3841
(502) 587-8222
(502) 587-0860
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 587-8222
(502) 587-0860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2432
KY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/07/2014
Last updated
01/07/2019
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