Individual
KEITH L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8146
Mailing address
4509 WASHBURN AVE S, MINNEAPOLIS, MN 55410-1531
(612) 929-5992
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0898843
MN
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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