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Individual

DR. KYLE HUMPHREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1511 HIGHWAY 120, BIG ROCK, TN 37023-3129
(931) 237-5699
Mailing address
1511 HIGHWAY 120, BIG ROCK, TN 37023-3129
(931) 237-5699

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016831
KY

Other

Enumeration date
11/07/2013
Last updated
11/07/2013
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