Individual
DR. COURTNEY KENSING HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2624 SE 8TH ST, MOORE, OK 73160-6730
(405) 850-4864
Mailing address
2624 SE 8TH ST, MOORE, OK 73160-6730
(405) 850-4864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2456
OK
152W00000X
Optometrist
6797
TX
Other
Enumeration date
12/14/2007
Last updated
04/22/2008
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