Provider Demographics
NPI:1528021656
Name:THOMPSON, JOHN SECORD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SECORD
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2017 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-3016
Mailing Address - Country:US
Mailing Address - Phone:859-266-9177
Mailing Address - Fax:859-281-4989
Practice Address - Street 1:UNIVERSITY OF KENTUCKY, 800 ROSE STREET
Practice Address - Street 2:C403
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-281-4927
Practice Address - Fax:859-281-4989
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY21060207RA0201X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology