Individual
KYLE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 TOWN CENTER PKWY STE 130, SPRING HILL, TN 37174-4408
(314) 860-0700
Mailing address
220 TOWN CENTER PKWY, SPRING HILL, TN 37174-4407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11071
TN
Other
Enumeration date
07/09/2019
Last updated
02/08/2024
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