Individual
DR. KRISTINA DIANNE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1348 OHIO ST, SUITE B, TERRE HAUTE, IN 47807-3937
(812) 232-6628
(812) 645-0324
Mailing address
1348 OHIO ST, SUITE B, TERRE HAUTE, IN 47807-3937
(812) 232-6628
(812) 645-0324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004077A
IN
208D00000X
General Practice Physician
02004077A
IN
Other
Enumeration date
09/30/2011
Last updated
09/14/2013
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