Individual
KRISTEN M HUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
735 S SHOOP AVE, WAUSEON, OH 43567-1735
(419) 335-2663
(419) 335-6916
Mailing address
735 S SHOOP AVE, WAUSEON, OH 43567-1735
(419) 335-2663
(419) 335-6916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389885
ANTHEM
OH
Enumeration date
01/19/2006
Last updated
01/08/2016
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