Individual
KACY HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4060 S LAKE DR APT 4, ST FRANCIS, WI 53235-5256
(407) 375-3003
Mailing address
4060 S LAKE DR APT 4, ST FRANCIS, WI 53235-5256
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
10392-16
WI
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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