Individual
MR. KIVONTE HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 LYNNWOOD DR, COLUMBIA, TN 38401-3915
(931) 505-0930
Mailing address
2122 CIRCLE DR, COLUMBIA, TN 38401-4430
(931) 490-1480
(931) 490-1482
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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