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Kenneth Thompson
Private Vehicle in Pontiac, Michigan
NPI 1376944322

Kenneth Thompson is a Private Vehicle based in Pontiac, MI. Kenneth Thompson practices in Pontiac, MI. The NPI Number for Kenneth Thompson is 1376944322 and holds a License No. (Michigan).

The current practice location address for Kenneth Thompson is 708 Cortwright St, Pontiac, MI and can be reached out via phone at 248-481-9927 and via fax at 248-335-6240.

Location: 708 Cortwright St, Pontiac, MI, 48340-1862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376944322
Provider Name
Kenneth Thompson
Credential
Provider Entity Type
Individual
Gender
Male
Address
708 Cortwright St, Pontiac, MI, 48340-1862
Phone Number
248-481-9927
Fax Number
248-335-6240
Provider Enumeration Date
09/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
708 Cortwright St
City
Pontiac
State
Michigan
Zip
48340-2302
Phone Number
248-481-9927
Fax Number
248-335-6240
person
Provider Business Mailing Address Details
Address
708 Cortwright St
City
Pontiac
State
Michigan
Zip
48340-2302
Phone Number
248-481-9927
Fax Number
248-335-6240
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 5
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 6
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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