Provider Demographics
NPI:1518433184
Name:HUGHES, KIRSTEN KAROL
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:KAROL
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 1:1 LOOGOOTEE PLZ
Mailing Address - Street 2:
Mailing Address - City:LOOGOOTEE
Mailing Address - State:IN
Mailing Address - Zip Code:47553-5757
Mailing Address - Country:US
Mailing Address - Phone:812-295-3346
Mailing Address - Fax:
Practice Address - Street 1:1 LOOGOOTEE PLZ
Practice Address - Street 2:
Practice Address - City:LOOGOOTEE
Practice Address - State:IN
Practice Address - Zip Code:47553-5757
Practice Address - Country:US
Practice Address - Phone:812-295-3346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003062A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor