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
Mailing address138 Raven Dr, Berea, KY 40403

Other providers in Berea