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NPI Code Detail

MEDICARE: MISS KIMBERLY CHRISTINA THOMPSON STNA

MEDICARE: MISS KIMBERLY CHRISTINA THOMPSON STNA
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
1376K00000XNurse's Aide377878531298OH

General Provider Information

NPI Number : 1356579114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KIMBERLY CHRISTINA THOMPSON STNA
Provider Business Mailing Address
First Line : 825 E 5TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2917
Country : US
Telephone Number : 614-516-1499
Fax Number :
Provider Business Practice Location Address
First Line : 2425 KIMBERLY PKWY E
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-4271
Country : US
Telephone Number : 614-868-9306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2009
Last Update Date : 06/30/2009

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Directions to “ MISS KIMBERLY CHRISTINA THOMPSON STNA” Practice Location

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