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Individual

MRS. RICHELLE LYNN HUMPHREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
904 WALLACE AVE, LEITCHFIELD, KY 42754-1418
(270) 259-9470
Mailing address
904 WALLACE AVE, LEITCHFIELD, KY 42754-1418

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000158637
TN

Other

Enumeration date
10/20/2009
Last updated
11/03/2023
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