Individual
KRISTY HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 21ST AVE, # 103, LONGMONT, CO 80501-1441
(720) 838-1870
Mailing address
420 21ST AVE, # 103, LONGMONT, CO 80501-1441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0014057
CO
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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