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DR. TIMOTHY DALE HUME M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1619975240

Individual Registrant:
DR. TIMOTHY DALE HUME M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
710 N MAIN ST  TOMPKINSVILLE, KY 42167-1130 US
Tel: 270-487-8667  Fax: 270-487-9505

Contact information for business:
710 N MAIN ST  TOMPKINSVILLE, KY 42167-1130 US
Tel: 270-487-8667  Fax: 270-487-9505

Registration Information:
NPI: 1619975240
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
KY23892

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
99346TN05
000000049273ANTHEMKY01
64238926KY05




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