Individual
MR. MARK DAVID HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 N MAIN ST, LONDON, KY 40741-1217
(606) 877-1877
(606) 878-9543
Mailing address
503 N MAIN ST, LONDON, KY 40741-1217
(606) 877-1877
(606) 878-9543
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29931
KY
207W00000X
Ophthalmology Physician
39585
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049868
ANTHEM
KY
01
—
000000222015
BC
—
01
—
4032919
BC TENN GROUP
TN
05
—
64299316
—
KY
Enumeration date
09/29/2005
Last updated
09/03/2010
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