MR. Kenneth T Thompson, PA-C

NPI #1609112192 in Simi Valley, California

Provider Information

NPI Number: 1609112192
Entity Type: Individual
Name: MR. Kenneth T Thompson, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 2, 2013
Last Updated: Jan 2, 2013

Practice Location

Address: 2780 TAPO CANYON RD
Address 2: SUITE A3
City: Simi Valley
State: California
ZIP Code: 93063-6840
Phone: (805) 520-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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