Individual
KASEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 ELLINGTON DR, RAYVILLE, LA 71269-3632
(318) 728-4181
Mailing address
254 HIGHWAY 3048, RAYVILLE, LA 71269-3624
(318) 728-4181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN106553
LA
363LF0000X
Family Nurse Practitioner
TAP002425
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130196
—
LA
Enumeration date
07/27/2010
Last updated
08/30/2019
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