Provider Demographics
NPI:1467266700
Name:KAREN ANNE HUGHES
Entity type:Organization
Organization Name:KAREN ANNE HUGHES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:505-538-0505
Mailing Address - Street 1:393 EASTBROOKE POINTE DR STE 115
Mailing Address - Street 2:
Mailing Address - City:MOUNT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-5561
Mailing Address - Country:US
Mailing Address - Phone:502-538-0505
Mailing Address - Fax:502-220-4733
Practice Address - Street 1:393 EASTBROOKE POINTE DR STE 115
Practice Address - Street 2:
Practice Address - City:MOUNT WASHINGTON
Practice Address - State:KY
Practice Address - Zip Code:40047-5561
Practice Address - Country:US
Practice Address - Phone:502-538-0505
Practice Address - Fax:502-220-4733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty