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Individual

KENNETH GEORGE HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 COMO AVE, SAINT PAUL, MN 55108-1460
(952) 853-8800
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 883-6805
(952) 883-6117

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29869
WI
207Q00000X
Family Medicine Physician
Primary
34607
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
373893100
MN
Enumeration date
02/03/2006
Last updated
01/29/2019
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