Individual
MR. KENNETH JOEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
336 DEERFIELD ROAD, BOONE, NC 28607
(828) 263-1211
Mailing address
118 KYLES PATH, VILAS, NC 28692-3004
(910) 583-8226
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
70346
NC
Other
Enumeration date
11/16/2006
Last updated
07/14/2014
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