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Contact Information

KIMBERLY A THOMPSON, LPN
1321 CLARA AVE
FORT WAYNE, IN46805-3517
 Phone: 231-215-6960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY A THOMPSON · (Female)

NPI Number 1841646072
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 05/06/2016
Last updated 05/06/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 27073046A
  • IN License # 6292-2352
  • MI License # 4703096215
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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