Individual
VICKI R. HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2162 W KIMBERLY RD, DAVENPORT, IA 52806-5368
(563) 388-7000
(563) 388-7001
Mailing address
2162 W KIMBERLY RD, DAVENPORT, IA 52806-5368
(563) 388-7000
(563) 388-7001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002289
IA
363AM0700X
Medical Physician Assistant
085000311
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306235072
GROUP NPI
—
Enumeration date
09/23/2005
Last updated
09/09/2023
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