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NPI Code Detail

MEDICARE: TIMOTHY SCOTT HUFF

MEDICARE: TIMOTHY SCOTT HUFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3009374KY

General Provider Information

NPI Number : 1205214426
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY SCOTT HUFF
Provider Business Mailing Address
First Line : PO BOX 1595
Second Line :
City : ASHLAND
State : KY
Zip : 41105-1595
Country : US
Telephone Number : 606-408-6200
Fax Number : 606-408-6612
Provider Business Practice Location Address
First Line : 391 W TOM T HALL BLVD
Second Line :
City : OLIVE HILL
State : KY
Zip : 41164-7688
Country : US
Telephone Number : 606-286-8039
Fax Number : 606-286-6108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2015
Last Update Date : 05/13/2015

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Directions to “ TIMOTHY SCOTT HUFF ” Practice Location

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