Individual
MICHAEL WAYNE HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9880 ANGIES WAY STE 250, LOUISVILLE, KY 40241-2865
(502) 394-6340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC076
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2021
Last updated
09/01/2021
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