Individual
KELLEIGH CREASON HUMLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6100
Mailing address
4452 BANYAN PARK, LEXINGTON, KY 40509-9055
(270) 210-4324
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3014973
KY
Other
Enumeration date
06/20/2022
Last updated
06/21/2022
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