Provider Demographics
NPI:1205873072
Name:THOMPSON, KAY AN-WHAY (MD)
Entity type:Individual
Prefix:DR
First Name:KAY
Middle Name:AN-WHAY
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-4316
Mailing Address - Country:US
Mailing Address - Phone:781-235-5585
Mailing Address - Fax:
Practice Address - Street 1:111 NORFOLK ST
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-1703
Practice Address - Country:US
Practice Address - Phone:508-660-1200
Practice Address - Fax:508-660-1209
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78196207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine