Healthcare Provider Details

I. General information

NPI: 1184694119
Provider Name (Legal Business Name): KAY THOMPSON C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 N FRANKLIN ST
WASHINGTON PA
15301-4378
US

IV. Provider business mailing address

701 TECHNOLOGY DR STE 150
CANONSBURG PA
15317-9531
US

V. Phone/Fax

Practice location:
  • Phone: 724-222-7240
  • Fax: 724-222-5778
Mailing address:
  • Phone: 724-531-2902
  • Fax: 724-531-2948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberTP006129C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: