Individual
KEVIN CHARLES HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRS
Contact information
Practice address
1020 W LACKAWANNA AVE, SCRANTON, PA 18504-2052
(570) 904-6000
Mailing address
15 CENTURY BLVD STE 307, NASHVILLE, TN 37214-3692
(615) 425-0220
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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