Individual
KATE ELLEN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
282 WASHINGTON ST, CONNECTICUT CHILDREN'S MEDICAL CENTER - IMT, HARTFORD, CT 06106-3322
(781) 929-7719
Mailing address
282 WASHINGTON ST, CONNECTICUT CHILDREN'S MEDICAL CENTER - IMT, HARTFORD, CT 06106-3322
(781) 929-7719
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049673
CT
208000000X
Pediatrics Physician
MT193487
PA
Other
Enumeration date
08/19/2008
Last updated
08/25/2011
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