Thompson, Kyle Jacob

Thompson, Kyle Jacob is an individual health care provider with primary practice located at 1750 E Ken Pratt Blvd Fl 3 , Longmont CO 80504-5311. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Thompson, Kyle Jacob can be contacted via phone (720) 718-3930.

Contact Information

Primary practice address
1750 E Ken Pratt Blvd Fl 3 Longmont CO 80504-5311
Phone: (720) 718-3930
Fax: (720) 718-0999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL.0005394 Colorado
Allopathic & Osteopathic Physicians / Surgery 208600000X DR.0059732 Colorado

Profile Details

NPI number 1619382496
LBN Legal business name Thompson, Kyle Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Oct 15th, 2020 - about 4 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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