Individual
KELLY DANETTE HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
148 STUART NELSON PARK RD, PADUCAH, KY 42001-9678
(270) 442-9502
(270) 442-1927
Mailing address
148 STUART NELSON PARK RD, PADUCAH, KY 42001-9678
(270) 442-9502
(270) 442-1927
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
162828
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162828
—
KY
Enumeration date
08/31/2017
Last updated
07/21/2022
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