Individual provider · Type 1 NPI
Kenneth Thompson
Driver · Philadelphia, PA
NPI number
1093476954
Active
Practice location
5416 Florence Ave
Philadelphia, PA 19143-4139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1093476954
Kenneth Thompson's National Provider Identifier is 1093476954, issued on Jan 4, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 4, 2022.