Individual
MRS. KATHLEEN J. HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
153 W BUFFALO ST, WARSAW, NY 14569-1242
(585) 786-8000
(585) 786-8352
Mailing address
153 W BUFFALO ST, WARSAW, NY 14569-1242
(585) 786-8000
(585) 786-8352
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
293161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01432397
—
NY
Enumeration date
03/01/2012
Last updated
03/01/2012
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