Individual
MS. KATHLEEN ANNE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A-NP
Contact information
Practice address
144 WALTON DR, AMHERST, NY 14226-4832
(716) 310-6263
Mailing address
144 WALTON DR, AMHERST, NY 14226-4832
(716) 310-6263
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30-306150
NY
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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