| Doctor Name: | MRS. KAY E HUMPHRIES |
| NPI Number: | 1225316805 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 370 |
| Business Practice Address: | 11901 Business Blvd Suite 209 Eagle River, AK - 995777701 |
| Business Phone Number: | 9076946002 |
| Business Fax Number: | 9076946015 |
| Mailing Address: | 11901 Business Blvd, Suite 209 EAGLE RIVER |
| State: | AK |
| Postal Code: | 995777701 |
| Phone Number: | 9076946002 |
| Fax Number: | 9076946015 |
| NPI Enumeration Date: | 07/29/2011 |
| NPI Last Update Date: | 07/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 370 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |