Individual
MR. KENNETH A HUGHES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
113 W FRONT ST, NOME, AK 99762-9800
(907) 443-7477
Mailing address
318 LESTER BENCH RD., NOME, AK 99762
(907) 443-5130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
121213
AK
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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