GLEN THOMPSON III CSA
NPI 1629299268
in Berea, KY

Active since May 01, 2007
138 RAVEN DR, BEREA, KY 40403(859) 200-3356(502) 451-9291 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Glen Thompson Iii Csa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN THOMPSON III CSA (NPI 1629299268) is an individual healthcare provider in Berea, Kentucky, licensed in Kentucky (2222) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1629299268
Entity TypeIndividualMale
Primary Taxonomy246ZS0400X
Provider Legal NameGLEN THOMPSON IIICredential: CSA
Location Address138 RAVEN DRBerea, KY 40403
Mailing Address138 Raven DrBerea, KY 40403 · (859) 200-3356 · Fax (502) 451-9291
Fax(502) 451-9291
Sole ProprietorYes
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1629299268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary Specialty
Taxonomy Code246ZS0400X
License Licensed in KY · 2222
138 RAVEN DR, Berea, KY 40403

Other Identifiers 1

Other000000493588KY · Anthem

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Other (Surgical Technologist)
138 RAVEN DR
BEREA, KY 40403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Thompson's NPI number?

The NPI number for Glen Thompson is 1629299268. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Glen Thompson located?

Glen Thompson practices at 138 Raven Dr, Berea, KY 40403. The listed phone number is (859) 200-3356.

When was this NPI record last updated?

The NPPES record for Glen Thompson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.