Individual provider · Type 1 NPI

Kennadi Brooklyn Thompson

Student in an Organized Health Care Education/Training Program · Shepherdsville, KY

NPI number 1710892971 Active

Practice location

509 Mallard Lake Blvd
Shepherdsville, KY 40165-5384

Call (502) 681-6969 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XI17123 (KY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710892971

Kennadi Brooklyn Thompson's National Provider Identifier is 1710892971, issued on Aug 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shepherdsville, KY. The record was last updated on Aug 14, 2026.