Individual
AMY HUESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 S BERKLEY RD, KOKOMO, IN 46901-5114
(765) 457-4673
Mailing address
313 S BERKLEY RD, KOKOMO, IN 46901-5114
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71009539A
IN
Other
Enumeration date
11/01/2019
Last updated
06/30/2022
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