Provider Demographics
NPI:1528541950
Name:HUGGINS-FLOWERS, KRYSTAL K
Entity Type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:K
Last Name:HUGGINS-FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10150 LEMON RD
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-6407
Mailing Address - Country:US
Mailing Address - Phone:225-301-3650
Mailing Address - Fax:
Practice Address - Street 1:10150 LEMON RD
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-6407
Practice Address - Country:US
Practice Address - Phone:225-301-3650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator