Healthcare Provider Details

I. General information

NPI: 1689593642
Provider Name (Legal Business Name): KYNDAL HUFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3014 SW 26TH AVE STE 4000
AMARILLO TX
79109-3175
US

IV. Provider business mailing address

3014 SW 26TH AVE STE 4000
AMARILLO TX
79109-3175
US

V. Phone/Fax

Practice location:
  • Phone: 806-214-2976
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: