person
Kenneth Thompson
NPI 1093476954

Kenneth Thompson is a Driver based in Philadelphia, PA. Kenneth Thompson practices in Philadelphia, PA. The NPI Number for Kenneth Thompson is 1093476954 and holds a License No. (Pennsylvania).

The current practice location address for Kenneth Thompson is 5416 Florence Ave, Philadelphia, PA and can be reached out via phone at 267-826-6125.

Location: 5416 Florence Ave, Philadelphia, PA, 19143-4139
person
Provider Profile Details
NPI Number
1093476954
Provider Name
Kenneth Thompson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5416 Florence Ave, Philadelphia, PA, 19143-4139
Phone Number
267-826-6125
Fax Number
Provider Enumeration Date
01/04/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1039407360001 05 PA
institution
Provider Business Practice Location Address Details
Address
5416 Florence Ave
City
State
Zip
19143-4139
Phone Number
267-826-6125
Fax Number
person
Provider Business Mailing Address Details
Address
5416 Florence Ave
City
State
Zip
19143-4139
Phone Number
267-826-6125
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
(Pennsylvania)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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