Individual
KAY L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-7164
(717) 267-7414
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN567075
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050514
MEDICARE GROUP #
PA
01
—
1007307260035
MEDICAID GROUP #
PA
05
—
102597062
—
PA
01
—
12211396
CAQH
—
Enumeration date
03/08/2011
Last updated
10/25/2021
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