Individual
MS. KRYSTAL HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-7700
(484) 622-7710
Mailing address
251 W DEKALB PIKE APT W725, KING OF PRUSSIA, PA 19406-2744
(610) 766-1525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060600
PA
Other
Enumeration date
10/03/2019
Last updated
07/02/2020
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