Individual
MRS. JUNE ANN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1810 NE 79TH CT, KANSAS CITY, MO 64118-1579
(816) 810-3728
Mailing address
1810 NE 79TH CT, KANSAS CITY, MO 64118-1579
(816) 810-3728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
045264
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424008308
—
MO
Enumeration date
03/07/2006
Last updated
08/06/2009
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