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NPI 1487408068

NPI 1487408068 : KAITLYN THOMPSON DO : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1487408068
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    Entity Type          |    Individual 
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    Provider Name        |    KAITLYN THOMPSON DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/11/2024
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    Last Update Date     |    02/21/2026
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Provider Practice Location Address
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    Address Line         |    7615 KENNEDY HL BLDG 1 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78235-4438
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    Country              |    US
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    Telephone            |    210-890-4243
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    614 ERROL ST UNIT 601 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78216-6505
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    Country              |    US
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    Telephone            |    501-259-6201
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    W3884
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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