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Individual
MRS. KELLY NICOLE HUGHES
Active
Individual
MRS. KELLY NICOLE HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2084
SC
363AS0400X
Surgical Physician Assistant
2084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1898PA
—
SC
01
—
D400031008
MEDICARE
CT
Enumeration date
09/10/2010
Last updated
07/22/2026
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