Thompson, Kyle G

Thompson, Kyle G is an individual health care provider with primary practice located at 2100 Providence Way , Idaho Falls ID 83404-6236. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Thompson, Kyle G can be contacted via phone (208) 529-6600.

Contact Information

Primary practice address
2100 Providence Way Idaho Falls ID 83404-6236
Phone: (208) 529-6600
Fax: (208) 529-6602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M-12830 Idaho
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X M12830 Idaho

Profile Details

NPI number 1710111224
LBN Legal business name Thompson, Kyle G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2009
Last updated Nov 5th, 2020 - about 6 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 1710111224 NPPES
Idaho MEDICAID 1710111224

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