Individual
LEE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHS
Contact information
Practice address
380 SUWANNEE TRAIL, BOWLING GREEN, KY 42103
(270) 901-5000
Mailing address
3206 CAVE SPRINGS AVE, BOWLING GREEN, KY 42104-4861
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
10/22/2007
Last updated
03/28/2008
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