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Contact Information

KENNETH G THOMPSON, MD
15709 SHADOW MTN DR
EDMOND, OK73013
 Phone: 405-844-4072
 Fax: 405-844-3021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for KENNETH G THOMPSON · (Male)

NPI Number 1194772517
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2006
Last updated 01/04/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 9621
  • OK Medicaid 10015160A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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