Individual
DUSTIN R HUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1112 W 6TH ST STE 216, LAWRENCE, KS 66044-2249
(785) 841-1107
(785) 841-1173
Mailing address
1112 W 6TH ST STE 216, LAWRENCE, KS 66044-2249
(785) 841-1107
(785) 841-1173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01476
KS
363AS0400X
Surgical Physician Assistant
15-01476
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346538758
MEDICARE
KS
05
—
200743000A
—
KS
Enumeration date
07/19/2011
Last updated
10/24/2022
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