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Individual

ROBERT THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
4320 WORNALL RD, SUITE 240, KANSAS CITY, MO 64111-5941
(816) 932-4655
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
095947
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
095947
MO LICENSE
MO
Enumeration date
11/14/2013
Last updated
11/14/2013
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