MEDICARE: KELLY HUCKEBA

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
1	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1639961808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY HUCKEBA

Provider Business Mailing Address
First Line	:	12555 NAVAJO RD
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92308-7256
Country	:	US
Telephone Number	:	760-247-8001
Fax Number	:

Provider Business Practice Location Address
First Line	:	21950 NISQUALLY RD
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92308-5770
Country	:	US
Telephone Number	:	760-240-4252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	05/21/2025

Similar Medicare Providers

1053291450 — MARLENE TORRES PPS-220186895
Practice Location Address:

21950 NISQUALLY RD
APPLE VALLEY, CA
92308-5770

Practice Phone: 760-240-4252
Practice Fax:

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1518662014 — CATHOLIC HEALTH INITIATIVES COLORADO
Practice Location Address:

3460 S 4155 W
WEST VALLEY CITY, UT
84120-5770

Practice Phone: 801-561-8888
Practice Fax:

1578380572 — CATHOLIC HEALTH INITIATIVES COLORADO
Practice Location Address:

3460 S 4155 W
WEST VALLEY CITY, UT
84120-5770

Practice Phone: 801-964-3100
Practice Fax:

1467792051 — JANET ANNE WARREN NP
Practice Location Address:

19341 BEAR VALLEY RD STE 105
APPLE VALLEY, CA
92308-5152

Practice Phone: 760-241-6666
Practice Fax: 609-475-6197

1295819068 — APPLE VALLEY UNIFIED SCHOOL DISTRICT
Practice Location Address:

12555 NAVAJO RD
APPLE VALLEY, CA
92308-7256

Practice Phone: 760-247-8001
Practice Fax:

Directions to “ KELLY HUCKEBA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.