NPI 1528815644

Kelly Anne Thompson

Practitioner Prosthetist Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 815-2005
Mailing address: 504 Clinton Center Drive Cbo Suite 4300, Clinton, MS 39056

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1528815644
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2024
Record last updated: 7 May 2024

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.