Individual
MR. KYLE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8031
(860) 679-4888
(860) 679-0134
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8031
(860) 679-4888
(860) 679-0134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.007061
CT
Other
Enumeration date
07/12/2017
Last updated
09/20/2022
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