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Individual

DR. LEE EUGENE HUMPHREY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
407 S CLAIRBORNE RD, SUITE 207, OLATHE, KS 66062-1723
(913) 764-3120
(913) 764-3240
Mailing address
10465 W 170TH TER, OLATHE, KS 66062-8980
(913) 897-3197

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000383
MO
213E00000X
Podiatrist
Primary
12-00125
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006750
BS OF KANSAS
KS
01
05071017
BS OF KANSAS CITY
MO
Enumeration date
06/09/2006
Last updated
07/08/2007
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