Provider Demographics
NPI:1053848747
Name:HUGHES, KARA
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:HUGHES
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 1:604 CLARK HOUSE FARM RD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:VA
Mailing Address - Zip Code:24171-4548
Mailing Address - Country:US
Mailing Address - Phone:276-692-5998
Mailing Address - Fax:
Practice Address - Street 1:604 CLARK HOUSE FARM RD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:VA
Practice Address - Zip Code:24171-4548
Practice Address - Country:US
Practice Address - Phone:276-692-5998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4907225X00000X
NC10803225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist