Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Thompson III, CSA

Individual provider Surgical Technologist · NPI 1629299268

Glen Thompson III, CSA is a Surgical Technologist in Berea, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2007

Practice location Address checks out

138 Raven Dr
Berea, KY 40403
Phone: (859) 200-3356
Fax: (502) 451-9291
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 2222 (KY)

Record details

NPI number1629299268
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Berea