Individual
KIMBERLY MARIE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1995 MARSHALL NEWLAND RD, EAST BURKE, VT 05832-0273
(802) 467-9807
Mailing address
PO BOX 273, EAST BURKE, VT 05832-0273
(802) 467-9807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026-0031306
VT
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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