Individual
KRISTINA LYNN HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
5735 MEEKER RD, GREENVILLE, OH 45331-1180
(937) 548-9680
(937) 548-2087
Mailing address
5735 MEEKER RD, GREENVILLE, OH 45331-1180
(937) 548-9680
(937) 548-2087
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50001950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1057200
NCCPA
—
01
—
50001950
STATE MEDICAL BOARD
OH
Enumeration date
03/09/2006
Last updated
07/29/2014
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