MEDICARE: DR. KEVIN E THOMPSON MD

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
1	207R00000X	Internal Medicine Physician	66958	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04532206	OTHER	IL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649279274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN E THOMPSON MD

Provider Business Mailing Address
First Line	:	81 MEMORIAL DR
Second Line	:
City	:	WINCHESTER
State	:	TN
Zip	:	37398-2401
Country	:	US
Telephone Number	:	319-671-2939
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 MEMORIAL DR
Second Line	:
City	:	WINCHESTER
State	:	TN
Zip	:	37398-2401
Country	:	US
Telephone Number	:	931-967-1293
Fax Number	:	847-669-2980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	02/17/2025

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Directions to “ DR. KEVIN E THOMPSON MD” Practice Location

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