Provider Demographics
NPI:1669637799
Name:HUFF, KATHLEEN SUSANNE
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:SUSANNE
Last Name:HUFF
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 1:10107 BRANDSTEADE CT
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-8668
Mailing Address - Country:US
Mailing Address - Phone:859-384-8491
Mailing Address - Fax:
Practice Address - Street 1:10107 BRANDSTEADE CT
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:KY
Practice Address - Zip Code:41091-8668
Practice Address - Country:US
Practice Address - Phone:859-384-8491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator