Thompson, Kenneth George

Thompson, Kenneth George is an sole proprietor health care provider with primary practice located at 15709 Shadow Mtn Dr , Edmond OK 73013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Thompson, Kenneth George can be contacted via phone (405) 844-4072.

Contact Information

Primary practice address
15709 Shadow Mtn Dr Edmond OK 73013
Phone: (405) 844-4072
Fax: (405) 844-3021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9621 Oklahoma

Profile Details

NPI number 1194772517
LBN Legal business name Thompson, Kenneth George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Jan 4th, 2012 - about 14 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 1194772517 NPPES
Oklahoma MEDICAID 10015160A

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