Individual
BRANTLEY HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN-BSN
Contact information
Practice address
1373 BYRD CIR, KINGSTON, TN 37763-2347
(865) 201-6627
Mailing address
1373 BYRD CIR, KINGSTON, TN 37763-2347
(865) 201-6627
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
233968
TN
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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