Individual
KELLY ALEXIS HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
447171
—
AZ
01
—
R1071
TRAINING PERMIT
AZ
Enumeration date
12/18/2007
Last updated
04/18/2019
Update your record
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