Individual
KENNESSA HUGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2623 CENTENNIAL BLVD., STE. 103, TALLAHASSEE, FL 32308
(850) 877-6119
(850) 878-0148
Mailing address
PO BOX 12427, TALLAHASSEE, FL 32317-2427
(850) 297-0114
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME81242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260982700
—
FL
Enumeration date
07/02/2006
Last updated
01/09/2020
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