Individual
KENT HUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 CURTIS DR, RAYNE, LA 70578-8311
(337) 334-7551
(337) 334-7556
Mailing address
717 CURTIS DR, RAYNE, LA 70578-8311
(337) 334-7551
(337) 334-7556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L021972
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991571
—
LA
Enumeration date
07/29/2005
Last updated
12/13/2016
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