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NPI Code Detail

MEDICARE: KIM MICHELLE THOMPSON

MEDICARE: KIM MICHELLE THOMPSON
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
1163W00000XRegistered Nurse38747ME

General Provider Information

NPI Number : 1790651545
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM MICHELLE THOMPSON
Provider Business Mailing Address
First Line : 87 MOUNT VERNON ST
Second Line :
City : GARDINER
State : ME
Zip : 04345-1819
Country : US
Telephone Number : 207-258-5051
Fax Number :
Provider Business Practice Location Address
First Line : 87 MOUNT VERNON ST
Second Line :
City : GARDINER
State : ME
Zip : 04345-1819
Country : US
Telephone Number : 207-248-5051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2025
Last Update Date : 10/24/2025

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Directions to “ KIM MICHELLE THOMPSON ” Practice Location

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