Individual provider · Type 1 NPI
Kevin Paul Huffman, PAC
Surgical Physician Assistant · Jefferson City, MO
NPI number
1124122858
Active
Practice location
2505 Mission Dr, Suite 200
Jefferson City, MO 65109-9508
Fax (573) 681-3659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA03301 (TX) |
| Surgical Physician Assistant Primary | 363AS0400X | 2012042655 (MO) |
Surgical Physician Assistant: Definition to come...
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About NPI 1124122858
Kevin Paul Huffman, PAC's National Provider Identifier is 1124122858, issued on Sep 12, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jefferson City, MO. The record was last updated on Dec 18, 2020.