Individual
PAMELA M HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 956-0120
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78003753
—
KY
Enumeration date
02/08/2007
Last updated
12/18/2018
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