Individual
KELLY BRIANNE HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 N. ELM STREET, GREENSBORO, NC 27404-0467
(336) 207-7005
Mailing address
174 PERCIVAL AVE, KENSINGTON, CT 06037-2033
(860) 402-0285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04600
NC
Other
Enumeration date
11/26/2013
Last updated
07/11/2023
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