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1609240720
KELCEY RENEE THOMPSON
LOUISVILLE, KY
NPI
1609240720
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Former Name
KELCEY RENEE BUNTAIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3009585)
Enumeration Date
2015-12-01
Last Update Date
2016-03-30
Business Address
Mrs. KELCEY RENEE THOMPSON
529 SOUTH JACKSON STREET
LOUISVILLE, KY 40202
Phone number: 502-562-4370
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Mailing Address
Mrs. KELCEY RENEE THOMPSON
P.O. BOX 909
LOUISVILLE, KY 40201
Phone number: 502-588-0328
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