Healthcare Provider Details

I. General information

NPI: 1124473657
Provider Name (Legal Business Name): KATHRYN ELIZABETH HUFF D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2016
Last Update Date: 09/11/2022
Certification Date: 09/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 E 3RD ST
DULUTH MN
55805-1950
US

IV. Provider business mailing address

3711 LONDON RD
DULUTH MN
55804-2236
US

V. Phone/Fax

Practice location:
  • Phone: 218-786-4000
  • Fax:
Mailing address:
  • Phone: 719-237-8524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34.015133
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number71307
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: