Organization
VINNA DENISON HUMPHRIES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINNA D HUMPHRIES MD (OWNER)
(270) 707-0303
Entity
Organization
Contact information
Practice address
320 NORTH DR, HOPKINSVILLE, KY 42240-1806
(270) 707-0303
(270) 707-0808
Mailing address
320 NORTH DR, HOPKINSVILLE, KY 42240-1806
(270) 707-0303
(270) 707-0808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65938599
—
KY
Enumeration date
07/27/2006
Last updated
10/30/2007
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