Provider Demographics
NPI:1538695499
Name:HUFF, KAY DENISE (LPN)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:DENISE
Last Name:HUFF
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 STEWART LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-1575
Mailing Address - Country:US
Mailing Address - Phone:567-303-4864
Mailing Address - Fax:
Practice Address - Street 1:610 STEWART LN
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1575
Practice Address - Country:US
Practice Address - Phone:567-303-4864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN048254MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse