Individual
MR. KEVIN PAUL HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2505 MISSION DR, SUITE 200, JEFFERSON CITY, MO 65109-9508
(573) 681-3759
(573) 681-3659
Mailing address
2505 MISSION DR, SUITE 200, JEFFERSON CITY, MO 65109-9508
(573) 681-3759
(573) 681-3659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA03301
TX
363AS0400X
Surgical Physician Assistant
Primary
2012042655
MO
Other
Enumeration date
09/12/2006
Last updated
12/18/2020
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