Provider Demographics
NPI:1922284496
Name:HUFF, KANDIE L
Entity Type:Individual
Prefix:MS
First Name:KANDIE
Middle Name:L
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 1:837 WILSON CIR SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-3006
Mailing Address - Country:US
Mailing Address - Phone:770-485-6833
Mailing Address - Fax:
Practice Address - Street 1:837 WILSON CIR SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3006
Practice Address - Country:US
Practice Address - Phone:770-485-6833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator