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Individual

DR. ANDREW DALE HUMPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-5775
Mailing address
325 MAINE ST, MSO LIBRARY, LAWRENCE, KS 66044-1360
(785) 505-2988
(785) 505-5228

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-35452
KS
208000000X
Pediatrics Physician
04-35452
KS
208M00000X
Hospitalist Physician
Primary
0435452
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200750400A
KS
Enumeration date
04/18/2007
Last updated
12/15/2025
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