NPI 1093476954
Kenneth Thompson
Practice location
- Address
- 5416 Florence Ave, Philadelphia, PA 19143-4139
- Phone
- (267) 826-6125
Registered specialties
Driver
Primary
Registry record
- NPI
- 1093476954
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Jan 2022
- Record last updated
- 4 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.