KENNETH T THOMPSON

SIMI VALLEY, CA
NPI1609112192
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22683)
Enumeration Date2013-01-02
Last Update Date2013-01-02
Business Address
Mr. KENNETH T THOMPSON PA-C
2780 TAPO CANYON RD SUITE A3
SIMI VALLEY, CA 93063-6840
Phone number: 805-520-2929
Mailing Address
Mr. KENNETH T THOMPSON PA-C
11586 CUMPSTON ST
NORTH HOLLYWOOD, CA 91601-2636
Phone number: 818-763-3124