Humphries, Kathleen E

Humphries, Kathleen E is an individual health care provider with primary practice located at 820 S. Carrier Pwky. , Grand Prairie TX 75051-1517. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Humphries, Kathleen E can be contacted via phone (972) 262-1425.

Contact Information

Primary practice address
820 S. Carrier Pwky. Grand Prairie TX 75051-1517
Phone: (972) 262-1425
Fax: (972) 262-4973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H6305 Texas

Profile Details

NPI number 1639135734
LBN Legal business name Humphries, Kathleen E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639135734 NPPES
Texas MEDICAID 047814105

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