Kevin Paul Huffman PAC

NPI 1124122858 - Physician Assistant - 363A00000X

NPI Details
NPI 1124122858
Gender Male
Enumeration Date 09/12/2006
Last Updated 05/13/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2505 MISSION DR
SUITE 200
JEFFERSON CITY MO, 65109-9508, US
Phone (573) 681-3759
Fax (573) 681-3659
Business Location
2505 MISSION DR
SUITE 200
JEFFERSON CITY MO, 65109-9508, US
Phone (573) 681-3759
Fax (573) 681-3659
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA03301
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According to our database, Mr. Kevin Paul Huffman PAC NPI is 1124122858, taxonomy code is 363A00000X and license number is PA03301, license state is located at Texas. Kevin Paul Huffman PAC physically located at 2505 Mission Dr, Jefferson City MO, 65109-9508. NPI Number Kevin Paul Huffman PAC has the Individual type.

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1124122858 NPI number is provided on an as is basis without warranty of any kind. 1124122858 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Paul Huffman PAC are for informational purposes only.