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NPI Code Detail

MEDICARE: KIM ESTELLA THOMPSON FNP-C

MEDICARE: KIM ESTELLA THOMPSON FNP-C
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
1363LF0000XFamily Nurse Practitioner197275-8900UT
2363L00000XNurse Practitioner252138AK
3363LF0000XFamily Nurse Practitioner197275-4405UT

General Provider Information

NPI Number : 1659772028
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM ESTELLA THOMPSON FNP-C
Provider Business Mailing Address
First Line : 3406 GLACIER HWY
Second Line :
City : JUNEAU
State : AK
Zip : 99801-7251
Country : US
Telephone Number : 907-463-3303
Fax Number : 907-463-6858
Provider Business Practice Location Address
First Line : 3406 GLACIER HWY
Second Line :
City : JUNEAU
State : AK
Zip : 99801-7251
Country : US
Telephone Number : 907-463-3303
Fax Number : 907-463-6858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2014
Last Update Date : 05/26/2026

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Directions to “ KIM ESTELLA THOMPSON FNP-C” Practice Location

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