Thompson, Keith

Thompson, Keith is an individual health care provider with primary practice located at 143 Kennedy Dr Suite A, Martin TN 38237-3309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thompson, Keith can be contacted via phone (731) 587-5321.

Contact Information

Primary practice address
143 Kennedy Dr Suite A Martin TN 38237-3309
Phone: (731) 587-5321
Fax: (731) 587-2145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18049 Mississippi
Allopathic & Osteopathic Physicians / Surgery 208600000X 29386 Tennessee

Profile Details

NPI number 1215997077
LBN Legal business name Thompson, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215997077 NPPES
Tennessee Other 36655 TLC
Tennessee Other 000000188621 TLC
Tennessee MEDICAID 3815542 TLC
Tennessee MEDICAID 07375201 TLC
Tennessee Other 4128847 TLC
Tennessee Other 4383459 TLC

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