Individual
ROBERT BERNARD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 N EAGLE CREEK DR, SUITE 400, LEXINGTON, KY 40509-2121
(859) 258-5220
(859) 258-5405
Mailing address
160 N EAGLE CREEK DR, SUITE 400, LEXINGTON, KY 40509-2121
(859) 258-5220
(859) 258-5405
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
16028
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000818
MEDICAID ASC GROUP
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64160286
—
KY
01
—
ASC1019
MEDICARE ASC GROUP
KY
01
—
CB5773
RR MEDICARE GROUP #
KY
Enumeration date
07/25/2006
Last updated
11/02/2007
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