Healthcare Provider Details
I. General information
NPI: 1669906863
Provider Name (Legal Business Name): HUFFMAN AND HUFFMAN, PSC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2017
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1848 S US HIGHWAY 421
HARLAN KY
40831-2509
US
IV. Provider business mailing address
503 N MAIN ST
LONDON KY
40741-1217
US
V. Phone/Fax
- Phone: 606-573-6928
- Fax:
- Phone: 606-877-1877
- Fax: 606-878-9543
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LORETTA
HUFFMAN
Title or Position: PRACTICE MANAGER
Credential:
Phone: 606-877-1877