Provider Demographics
NPI:1790765691
Name:HUFFMAN, JOSHUA BOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:BOYD
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:A440
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-278-4172
Mailing Address - Fax:859-313-3541
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:A440
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-278-4172
Practice Address - Fax:859-313-3541
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2010-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY34906207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64029648Medicaid
KY64029648Medicaid
KYH33443Medicare UPIN