| Vinna Denison Humphries Md Llc | |
|
320 North Dr Hopkinsville KY 42240-1806 | |
| (270) 707-0303 | |
| (270) 707-0808 |
| Full Name | Vinna Denison Humphries Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 North Dr, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Vinna D Humphries (OWNER) |
| Authorized Official Contact | 2707070303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vinna Denison Humphries Md Llc 320 North Dr Hopkinsville KY 42240-1806 Ph: (270) 707-0303 | Vinna Denison Humphries Md Llc 320 North Dr Hopkinsville KY 42240-1806 Ph: (270) 707-0303 |
| NPI Number | 1720002371 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 10/30/2007 |
| Medicare PECOS PAC ID | 6204869050 |
|---|---|
| Medicare Enrollment ID | O20050913000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720002371 | NPI | - | NPPES |
| 65938599 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vinna D Denison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366406258 PECOS PAC ID: 9436182292 Enrollment ID: I20100820000541 |
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