Provider Demographics
NPI:1215725973
Name:HUGGINS, KELLY DAWN (MSN)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:DAWN
Last Name:HUGGINS
Suffix:
Gender:
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5781 BUCKS RUN TRL
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-7029
Mailing Address - Country:US
Mailing Address - Phone:425-890-4205
Mailing Address - Fax:
Practice Address - Street 1:5781 BUCKS RUN TRL
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-7029
Practice Address - Country:US
Practice Address - Phone:425-890-4205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR225705163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health