Provider Demographics
NPI:1053126227
Name:THOMPSON, KALI SAVANNAH
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:SAVANNAH
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5875 ENOCHVILLE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-8527
Mailing Address - Country:US
Mailing Address - Phone:704-762-7473
Mailing Address - Fax:
Practice Address - Street 1:5875 ENOCHVILLE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-8527
Practice Address - Country:US
Practice Address - Phone:704-762-7473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer