Individual
MR. MICHAEL GLASS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
189 HIGHWAY 192 W, LONDON, KY 40741-2428
(859) 252-6500
(606) 877-5454
Mailing address
189 WEST HWY 192 BYPASS, SUITE 2, LONDON, KY 40741
(859) 252-6500
(606) 877-5454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA796
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100075660
—
KY
Enumeration date
09/26/2005
Last updated
06/04/2014
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