Humphrey, Clinton D

Humphrey, Clinton D is an individual health care provider with primary practice located at 3901 Rainbow Blvd Ms 3010, Kansas City KS 66160-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Humphrey, Clinton D can be contacted via phone (913) 588-6701.

Contact Information

Primary practice address
3901 Rainbow Blvd Ms 3010 Kansas City KS 66160-0001
Phone: (913) 588-6701
Fax: (913) 588-6708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 9405983 Kansas
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 04-33336 Kansas

Profile Details

NPI number 1902960172
LBN Legal business name Humphrey, Clinton D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated May 20th, 2020 - about 4 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 1902960172 NPPES
Missouri MEDICAID 204511208

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