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Dr. Ken Allen Humphrey, MD
Emergency Medicine Physician in Lake Wylie, South Carolina
NPI 1043268352

Ken Allen Humphrey is a Emergency Medicine Physician based in Lake Wylie, SC. Ken Allen Humphrey practices in Lake Wylie, SC and has the professional credentials of MD. The NPI Number for Ken Allen Humphrey is 1043268352 and holds a License No. MD2004-0215 (South Carolina).

The current practice location address for Ken Allen Humphrey is 15 Cranton Way #112, Lake Wylie, SC and can be reached out via phone at 803-831-7916 and via fax at 803-831-7916.

Location: 15 Cranton Way #112, Lake Wylie, SC, 29710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043268352
Provider Name
Ken Allen Humphrey
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Cranton Way #112, Lake Wylie, SC, 29710
Phone Number
803-831-7916
Fax Number
803-831-7916
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G409690 05 CA
230752 05 SC
93757018 05 NM
institution
Provider Business Practice Location Address Details
Address
15 Cranton Way #112
City
Lake Wylie
State
South Carolina
Zip
29710
Phone Number
803-831-7916
Fax Number
803-831-7916
person
Provider Business Mailing Address Details
Address
15 Cranton Way #112
City
Lake Wylie
State
South Carolina
Zip
29710
Phone Number
803-831-7916
Fax Number
803-831-7916
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
G40969 (California)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD2004-0215 (New Mexico)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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