Provider Demographics
NPI:1942706536
Name:HUMPHREY, KYLE REDDING (MD)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:REDDING
Last Name:HUMPHREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF TEXAS MEDICAL BRANCH 301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0435
Mailing Address - Country:US
Mailing Address - Phone:409-772-1756
Mailing Address - Fax:409-772-5462
Practice Address - Street 1:6010 POINTE WEST BLVD
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-5531
Practice Address - Country:US
Practice Address - Phone:941-746-2711
Practice Address - Fax:941-746-3433
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL.4754R207R00000X
FLME162212207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine