Individual
KYNDRA MARIE HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 HIGHWAY 57 N, LITTLE RIVER, SC 29566-7050
(843) 915-5654
Mailing address
700 21ST AVE N, MYRTLE BEACH, SC 29577-7400
(843) 915-4836
(843) 448-7499
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
261563
SC
Other
Enumeration date
05/25/2021
Last updated
02/05/2024
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