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Individual
KIMBERLY HUMPHREY
Active
Individual
KIMBERLY HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365645601
—
TX
01
—
75-2950731
TAX ID
TX
Enumeration date
10/25/2016
Last updated
04/27/2026
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