Individual
KELLY ELIZABETH HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
527 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9008
(800) 607-8888
Mailing address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3351
(304) 388-2427
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33873
WV
Other
Enumeration date
03/25/2020
Last updated
08/05/2024
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