Provider Demographics
NPI:1235283839
Name:THOMPSON, KAY ALYSON (MD)
Entity Type:Individual
Prefix:DR
First Name:KAY
Middle Name:ALYSON
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4600 SCYENE
Mailing Address - Street 2:HATCHER STATION HEALTH CENTER
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75210
Mailing Address - Country:US
Mailing Address - Phone:214-266-1045
Mailing Address - Fax:214-266-1069
Practice Address - Street 1:4600 SCYENE ROAD
Practice Address - Street 2:HATCHER STATION HEALTH CENTER
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75210
Practice Address - Country:US
Practice Address - Phone:214-266-1045
Practice Address - Fax:214-266-1069
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2015-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM9056207R00000X, 207RN0300X, 207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO60228849Medicaid
COG88126Medicare UPIN