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Individual
KEVIN DANIEL HUMPHREYS
Active
Individual
KEVIN DANIEL HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME119076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012208800
—
FL
01
—
14V1E
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/22/2011
Last updated
10/01/2018
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