Provider Demographics
NPI:1609354497
Name:HUGHES, KATHRYN K (APRN)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:K
Last Name:HUGHES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 HUNTING CT
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-9363
Mailing Address - Country:US
Mailing Address - Phone:614-937-5284
Mailing Address - Fax:
Practice Address - Street 1:CRAWFORD BUILDING WINTHROP UNIVERSITY
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29733-0001
Practice Address - Country:US
Practice Address - Phone:803-323-2206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9390475363LF0000X
SC26980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily