Healthcare Provider Details

I. General information

NPI: 1023079746
Provider Name (Legal Business Name): KIM M HUFFMAN MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 12/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5213 S ALSTON AVE
DURHAM NC
27713-4430
US

IV. Provider business mailing address

40 DUKE MEDICINE CIR
DURHAM NC
27710-4000
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-8111
  • Fax:
Mailing address:
  • Phone: 919-684-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number200300048
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: