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Koi Thompson

NPI 1689109910 · on the registry since 2017 · sole proprietor

Practice

Address
374 Nw 2nd St
Reserve, LA 70084
Phone
(985) 703-1083

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana