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NPI Code Detail

MEDICARE: DR. KATHLEEN ANN THOMPSON D.O.

MEDICARE: DR. KATHLEEN ANN THOMPSON D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianOS 12233FL

General Provider Information

NPI Number : 1245497999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN ANN THOMPSON D.O.
Provider Business Mailing Address
First Line : 110 SE 2ND ST
Second Line : UNIT 203
City : DELRAY BEACH
State : FL
Zip : 33444-3680
Country : US
Telephone Number : 561-738-9761
Fax Number : 561-738-5592
Provider Business Practice Location Address
First Line : 101 SE 27TH AVE
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7632
Country : US
Telephone Number : 561-738-9761
Fax Number : 561-738-5592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2008
Last Update Date : 09/04/2013

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