Kathy Jean Thomspon, NURSE

Individual provider Active NPI Licensed Practical Nurse · Clear Spring, MD

NPI 1255458402 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1255458402
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LP35774 (MD)
Practice address
105 Cumberland Street
Apt 1
Clear Spring, MD 21722-0391
Phone
(301) 842-3801
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LP35774MDMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP35774 MD Yes

Addresses

Primary practice location

105 Cumberland Street
Apt 1
Clear Spring, MD 21722-0391

Mailing address

PO Box 391
Clear Spring, MD 21722-0391
Phone (301) 842-3801

Other names

  • Miss Kathy Jean Thompson Other name

Other providers in Clear Spring, MD

All providers in Clear Spring, MD · Licensed Practical Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.