Provider Demographics
NPI:1477036994
Name:THOMPSON, KATHERINE PAIGE (MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:PAIGE
Last Name:THOMPSON
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Gender:F
Credentials:MSN, FNP-C
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Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-272-5817
Mailing Address - Fax:502-272-5339
Practice Address - Street 1:115 HUSTON DR STE 1
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-7250
Practice Address - Country:US
Practice Address - Phone:502-955-7311
Practice Address - Fax:502-891-8338
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2021-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3012660363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily