Provider Demographics
NPI:1780312637
Name:HUGHES, KYLE HUNTER (PA-C)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:HUNTER
Last Name:HUGHES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-6603
Mailing Address - Country:US
Mailing Address - Phone:603-339-6640
Mailing Address - Fax:
Practice Address - Street 1:15 EVERGREEN DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-6603
Practice Address - Country:US
Practice Address - Phone:603-339-6640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant