Provider Demographics
NPI:1467485433
Name:HUHN, JENIFFER LYNN (DO)
Entity Type:Individual
Prefix:
First Name:JENIFFER
Middle Name:LYNN
Last Name:HUHN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 HOSPITAL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-8451
Mailing Address - Country:US
Mailing Address - Phone:540-741-0655
Mailing Address - Fax:540-741-0657
Practice Address - Street 1:793 EASTERN BYP
Practice Address - Street 2:SUITE G2
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2422
Practice Address - Country:US
Practice Address - Phone:859-626-0074
Practice Address - Fax:859-626-3265
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01022044232085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1467485433Medicaid
0679466Medicare ID - Type Unspecified
G73768Medicare UPIN
KY0092784Medicare PIN
KY0098022Medicare PIN