Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 60026 | KS |
NPI | 1003804048 |
---|---|
Provider Name | Dr. Laura Jean Huyett |
First Address | Kansas City, KS 66106-3648 |
Second Address | Kansas City, KS 66106-3648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 11/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
40-870774-01 | (05) | KS |