| Doctor Name: | DR. KRISTINA DIANNE THOMPSON |
| NPI Number: | 1942584529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 02004077A |
| Business Practice Address: | 1348 Ohio St Suite B Terre Haute, IN - 478073937 |
| Business Phone Number: | 8122326628 |
| Business Fax Number: | 8126450324 |
| Mailing Address: | 1348 Ohio St, Suite B TERRE HAUTE |
| State: | IN |
| Postal Code: | 478073937 |
| Phone Number: | 8122326628 |
| Fax Number: | 8126450324 |
| NPI Enumeration Date: | 09/30/2011 |
| NPI Last Update Date: | 09/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 02004077A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |