Individual
CHAUNCY HUCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-3131
Mailing address
19053 IRVING RD, MOUND VALLEY, KS 67354-9255
(620) 757-1593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-83465-101
KS
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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