Provider Demographics
NPI:1699318634
Name:HUSBANDS, KAY
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:
Last Name:HUSBANDS
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 1:204 LYLE CURTIS CIR
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65583-2566
Mailing Address - Country:US
Mailing Address - Phone:347-582-4846
Mailing Address - Fax:
Practice Address - Street 1:112 W. MCCLURG AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MO
Practice Address - Zip Code:65556-7101
Practice Address - Country:US
Practice Address - Phone:573-677-4425
Practice Address - Fax:573-723-1474
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician