Individual
KERRY HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 W LOMBARD ST, DAVENPORT, IA 52804-2029
(563) 333-5735
Mailing address
1320 W LOMBARD ST, DAVENPORT, IA 52804-2029
(563) 333-5735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-41653
IA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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