DUSTIN THOMPSON

PADUCAH, KY
NPI1841643202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: KY  3010565)
Enumeration Date2016-07-20
Last Update Date2020-09-28
Business Address
DUSTIN THOMPSON APRN
4645 VILLAGE SQUARE DR STE C
PADUCAH, KY 42001-7448
Phone number: 270-228-0118
Mailing Address
DUSTIN THOMPSON APRN
4645 VILLAGE SQUARE DR STE C
PADUCAH, KY 42001-7448
Phone number: 270-228-0118
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