SearchIllinois172A00000X

Kelly Thompson

NPI 1689849242 · on the registry since 2008 · sole proprietor

Practice

Address
1473 South St
Fowler, IL 62338
Phone
(217) 653-3983

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois