Individual
MRS. MELISSA HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
300 E MARKET ST STE 200, LOUISVILLE, KY 40202-1959
(502) 852-8953
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3660P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78010444
—
KY
Enumeration date
04/21/2006
Last updated
05/10/2019
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