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NPI Code Detail

MEDICARE: KARA LEE A. THOMPSON D.O.

MEDICARE: KARA LEE A. 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
1207P00000XEmergency Medicine Physician03518IA
22083B0002XObesity Medicine (Preventive Medicine) PhysicianDO-03518IA
3207Q00000XFamily Medicine PhysicianDO-03518IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00639295OTHERIARAILROAD MEDICARE

General Provider Information

NPI Number : 1386634731
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA LEE A. THOMPSON D.O.
Provider Business Mailing Address
First Line : 800 S FILLMORE ST
Second Line :
City : OSCEOLA
State : IA
Zip : 50213-1619
Country : US
Telephone Number : 641-342-5351
Fax Number : 642-342-5369
Provider Business Practice Location Address
First Line : 800 S FILLMORE ST
Second Line :
City : OSCEOLA
State : IA
Zip : 50213-1619
Country : US
Telephone Number : 641-342-5351
Fax Number : 642-342-5369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 12/09/2020

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