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Kevin Thompson

Community Health Worker in Eureka, CA. Individual provider (NPI-1).

NPI number1982158325
StatusActive
Last updated in NPPESAug 14, 2016

Details

NPI
1982158325
Entity type
Individual (NPI-1)
Name
Kevin Thompson
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 14, 2016
Last updated
Aug 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

720 Wood St
Eureka, CA 95501-4413

Phone 707-286-2990

Mailing address

720 Wood St
Eureka, CA 95501-4413

Phone 707-286-2990

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