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KENNETH THOMPSON NPI 1093476954


NPI Information

NPI: 1093476954
Provider Name: KENNETH THOMPSON
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
5416 FLORENCE AVE
PHILADELPHIA, PA
ZIP 19143
Phone: (267) 826-6125
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Kenneth Thompson is a driver in Philadelphia, PA. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Kenneth Thompson NPI is 1093476954. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5416 FLORENCE AVE
PHILADELPHIA, PA
ZIP 19143-139
Phone: (267) 826-6125

The enumeration date for this NPI number is 1/4/2022 and was last updated on 1/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1172A00000XDriverPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11039407360001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.