NPI 1346411568

Joanna Rae Thompson

Practitioner Military Health Care Provider Fort Knox, KY

Practice location

Address: 289 Ireland Ave, Fort Knox, KY 40121-5111
Phone: (502) 624-9007
Mailing address: 137 E Eastern Hills Blvd, Salem, IN 47167-9719

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 1631 (KY)

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Registry record

NPI: 1346411568
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2008
Record last updated: 15 Mar 2008

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.