Kelly Anne Thompson

NPI #1528815644 in Jackson, Mississippi

Provider Information

NPI Number: 1528815644
Entity Type: Individual
Name: Kelly Anne Thompson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Enumeration Date: May 6, 2024
Last Updated: May 7, 2024

Practice Location

Address: 2500 N STATE ST
City: Jackson
State: Mississippi
ZIP Code: 39216-4500
Phone: (601) 815-2005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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