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1770992430
ELLIS THOMPSON
LOUISVILLE, KY
NPI
1770992430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA2432)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2014-08-07
Last Update Date
2019-01-07
Business Address
Mr. ELLIS THOMPSON PA-C
201 ABRAHAM FLEXNER WAY STE 100
LOUISVILLE, KY 40202-3841
Phone number: 502-587-8222
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Mailing Address
Mr. ELLIS THOMPSON PA-C
100 E LIBERTY ST STE 800
LOUISVILLE, KY 40202-1428
Phone number: 502-587-8222
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