Individual provider · Type 1 NPI

Sidney Alan Humphrey, PA-C

Medical Physician Assistant · Charleston, WV

NPI number 1659349405 Active

Practice location

5430 Maccorkle Ave SE
Charleston, WV 25304-2224

Call (304) 925-3627 Map

Fax (304) 925-1163

Mailing address

1869 Shamblin Run Rd
Given, WV 25245-8034

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X306 (WV)
Medical Physician Assistant Primary 363AM0700X811 (WV)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1659349405

Sidney Alan Humphrey, PA-C's National Provider Identifier is 1659349405, issued on Mar 9, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charleston, WV. The record was last updated on Jun 2, 2016.