Individual
MR. JEREMY HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1231 1ST ST STE 5, KENNETT, MO 63857-2521
(573) 888-8606
Mailing address
403 BUTLER DR, KENNETT, MO 63857-2714
(573) 344-9252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012018172
MO
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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