Kelly Lee Thompson, CRNA | |
5731 Champion Ct, Arlington, TX 76017-4213 | |
(619) 961-6753 | |
Not Available |
Full Name | Kelly Lee Thompson |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5731 Champion Ct, Arlington, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144298704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3132 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 707870 (Texas) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Kelly Lee Thompson, CRNA 5731 Champion Ct, Arlington, TX 76017-4213 Ph: (619) 961-6753 | Kelly Lee Thompson, CRNA 5731 Champion Ct, Arlington, TX 76017-4213 Ph: (619) 961-6753 |
Susan R. Spence, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 E Lamar Blvd, Suite 400, Arlington, TX 76006 Phone: 682-227-6834 Fax: 682-227-6864 | |
Miss Meredith Tate Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 E Lamar Blvd Ste 400, Arlington, TX 76006 Phone: 901-378-2280 | |
Gerald Nyaayo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 707 Highlander Blvd, Arlington, TX 76015 Phone: 817-583-7100 | |
Mrs. Erin Annette Baird, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 E Lamar Blvd, Arlington, TX 76006 Phone: 817-861-3994 | |
Lori A. Chancellor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 E Lamar Blvd, Ste 400, Arlington, TX 76006 Phone: 817-861-3994 Fax: 682-227-6869 | |
Mr. Brannon Leinart, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 E Lamar Blvd, Suite 400, Arlington, TX 76006 Phone: 817-861-3994 |