Provider Demographics
NPI:1972012649
Name:HUSTED, FRANKLIN ALFRED
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:ALFRED
Last Name:HUSTED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:HUSTED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MDIV
Mailing Address - Street 1:925 HIGHWAY VV
Mailing Address - Street 2:
Mailing Address - City:KENNETT
Mailing Address - State:MO
Mailing Address - Zip Code:63857-0071
Mailing Address - Country:US
Mailing Address - Phone:573-888-5925
Mailing Address - Fax:
Practice Address - Street 1:925 HIGHWAY VV
Practice Address - Street 2:
Practice Address - City:KENNETT
Practice Address - State:MO
Practice Address - Zip Code:63857-0071
Practice Address - Country:US
Practice Address - Phone:573-888-5925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator