IndividualActive
Kenneth Thompson
NPI 1093476954 · Driver · Philadelphia, PA
Provider details
- NPI number
- 1093476954
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
5416 Florence Ave
Philadelphia, PA 19143-4139
Registry dates
- Enumerated
- 2022-01-04
- Last updated
- 2022-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.