Individual
KELLY COLLEEN HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(214) 456-6370
(214) 456-8317
Mailing address
3208 ROBIN RD, PLANO, TX 75075-7908
(214) 456-6370
(214) 456-8317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
555030
TX
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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