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Individual

MRS. KELLY JO THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
8653 SWEETWATER CT, POWELL, OH 43065-8364
(614) 218-3153
(740) 657-1326
Mailing address
8653 SWEETWATER CT, POWELL, OH 43065-8364
(614) 218-3153
(740) 657-1326

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN307640
OH

Other

Enumeration date
12/29/2007
Last updated
12/29/2007
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