Individual
MS. KRISTA KELLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 LINCOLN PARK RD UNIT 4, SPRINGFIELD, KY 40069-1355
(502) 205-0361
Mailing address
300 LINCOLN PARK RD UNIT 4, SPRINGFIELD, KY 40069-1355
(502) 205-0361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN151597
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3011395
KY
Other
Enumeration date
04/03/2013
Last updated
04/22/2018
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