IndividualActive
Kelly Thompson
NPI 1528815644 · Prosthetist · Jackson, MS
Provider details
- NPI number
- 1528815644
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-2005
Approximate (ZIP-level) locationGet directions
Mailing address
504 Clinton Center Drive
Clinton, MS 39056
Registry dates
- Enumerated
- 2024-05-06
- Last updated
- 2024-05-07
- Certified
- 2024-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.