Individual
KRISTINA D. HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3084 LAKECREST CIR, SUITE 100, LEXINGTON, KY 40513-1706
(859) 219-6440
(859) 219-6449
Mailing address
PO BOX 910670, LEXINGTON, KY 40591-0670
(859) 219-6440
(859) 219-6449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32478
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
32478
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64324783
—
KY
Enumeration date
07/18/2005
Last updated
12/07/2020
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