Individual
MRS. DANIELLE ELISE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4001 KRESGE WAY STE 200, LOUISVILLE, KY 40207-4640
(502) 895-1995
(502) 895-6479
Mailing address
2700 STANLEY GAULT PKWY, STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4910
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
49230
KY
Other
Enumeration date
03/25/2011
Last updated
12/07/2020
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