NPI 1093911497
Kelly Thompson
Practice location
- Address
- 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324
- Phone
- (414) 871-6122
- Mailing address
- 5632 W Philip Pl, Milwaukee, WI 53216-3147
Registered specialties
Technician
Primary
Registry record
- NPI
- 1093911497
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jun 2007
- Record last updated
- 8 Jul 2007
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.