Provider Demographics
NPI:1578774527
Name:HUMKEY, LYNNE R (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:R
Last Name:HUMKEY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ELKHORN BEND DRIVE
Mailing Address - Street 2:
Mailing Address - City:MIDWAY
Mailing Address - State:KY
Mailing Address - Zip Code:40347-9794
Mailing Address - Country:US
Mailing Address - Phone:859-422-6667
Mailing Address - Fax:
Practice Address - Street 1:121 ELKHORN BEND DRIVE
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:KY
Practice Address - Zip Code:40347-9794
Practice Address - Country:US
Practice Address - Phone:859-422-6667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1036176163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant