Kenneth Thompson

NPI #1093476954 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1093476954
Entity Type: Individual
Name: Kenneth Thompson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jan 4, 2022
Last Updated: Jan 4, 2022

Practice Location

Address: 5416 FLORENCE AVE
City: Philadelphia
State: Pennsylvania
ZIP Code: 19143-4139
Phone: (267) 826-6125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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