Individual
KISHA N THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 431-5629
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
074874-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
505994 1
NY
Other
Enumeration date
08/20/2006
Last updated
09/06/2019
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