Individual
BRENNAN KANE HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 WATAUGA ST, KINGSPORT, TN 37660-4429
(423) 707-2999
Mailing address
613 WATAUGA ST, KINGSPORT, TN 37660-4429
(423) 707-2999
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10533
TN
Other
Enumeration date
05/30/2017
Last updated
07/21/2022
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