Provider Demographics
NPI:1629751276
Name:GUILKEY-HUMPHREY, HANNAH MAY
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MAY
Last Name:GUILKEY-HUMPHREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1267 HACKLESHIN RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:OH
Mailing Address - Zip Code:45646-9727
Mailing Address - Country:US
Mailing Address - Phone:740-542-1851
Mailing Address - Fax:
Practice Address - Street 1:1267 HACKLESHIN RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:OH
Practice Address - Zip Code:45646-9727
Practice Address - Country:US
Practice Address - Phone:740-542-1851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical