NPI 1124122858

Kevin Paul Huffman, PAC

Practitioner Surgical Physician Assistant Jefferson City, MO

Practice location

Address: 2505 Mission Dr Suite 200, Jefferson City, MO 65109-9508
Phone: (573) 681-3759
Fax: (573) 681-3659

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 2012042655 (MO)

Other Physician Assistant providers in Missouri →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA03301 (TX)

Registry record

NPI: 1124122858
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2006
Record last updated: 18 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.