DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEVIN PAUL HUFFMAN, PAC

Active

MR. KEVIN PAUL HUFFMAN, PAC is a Surgical Physician Assistant healthcare provider located in JEFFERSON CITY, Missouri. NPI 1124122858 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · JEFFERSON CITY, MO

Registration Details

NPI Number
1124122858
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2006 (19.878648626992 yrs)
Last Updated
Dec 18, 2020
Licenses
PA03301 (TX)
2012042655 (MO)

Practice Information

Address
2505 MISSION DR
SUITE 200
JEFFERSON CITY, MO, 651099508
Browse MO providers · Browse ZIP 65109
Phone
5736813759
Fax
5736813659
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.