Thompson, Kelly L

Thompson, Kelly L is an individual health care provider with primary practice located at 1050 Wishard Blvd Infectious Disease Clinic, Indianapolis IN 46202-2872. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Thompson, Kelly L can be contacted via phone (317) 630-6612.

Contact Information

Primary practice address
1050 Wishard Blvd Infectious Disease Clinic Indianapolis IN 46202-2872
Phone: (317) 630-6612
Fax: (317) 656-4035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 33005328A Indiana

Profile Details

NPI number 1346414331
LBN Legal business name Thompson, Kelly L
Credentials MSW, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346414331 NPPES
Indiana MEDICAID 200542360

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