Doctor Name: | KATHY J THOMPKINS |
NPI Number: | 1295921591 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3342 |
Business Practice Address: | 1002 S Main St Mullins, SC - 295743920 |
Business Phone Number: | 8434648205 |
Business Fax Number: | 8434648206 |
Mailing Address: | 1002 S Main St, MULLINS |
State: | SC |
Postal Code: | 295743920 |
Phone Number: | 8434648205 |
Fax Number: | 8434648206 |
NPI Enumeration Date: | 09/20/2007 |
NPI Last Update Date: | 04/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |