Individual ProviderKerry-Ann ThompsonRegistered NurseNursing Service ProvidersPractice Address8606 208th St, Queens Village, NY 11427-1678(347) 458-2109PECOS EnrollmentBased on the most recent information from CMS, provider Kerry-Ann Thompson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1366096935Provider TypeIndividualFull NameThompson, Kerry-AnnGenderFemaleSole ProprietorYesEnumeration Date7/31/2019Last Updated7/31/2019Contact InformationPractice LocationPractice Address8606 208th St, Queens Village, NY 11427-1678Phone(347) 458-2109FaxUnlisted FaxMailing LocationMailing Address8606 208th St, Queens Village, NY 11427-1678PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense544296New York