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NPI Code Detail

MEDICARE: VERNON H HUMBERT JR. M.D.

MEDICARE: VERNON H HUMBERT JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician01038632IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740269679
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERNON H HUMBERT JR. M.D.
Provider Business Mailing Address
First Line : 1305 N ELM ST
Second Line : SUITE C
City : HENDERSON
State : KY
Zip : 42420-2783
Country : US
Telephone Number : 270-830-4756
Fax Number : 270-830-4738
Provider Business Practice Location Address
First Line : 1305 N ELM ST
Second Line : SUITE C
City : HENDERSON
State : KY
Zip : 42420-2783
Country : US
Telephone Number : 270-830-4756
Fax Number : 270-830-4738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 02/17/2015

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