Individual
KALISTA J HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3615 E JOHN ROWAN BLVD STE 104, BARDSTOWN, KY 40004-3264
(502) 348-5968
(270) 706-5802
Mailing address
3615 E JOHN ROWAN BLVD STE 104, BARDSTOWN, KY 40004-3264
(502) 348-5968
(270) 706-5802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44882
KY
207RN0300X
Nephrology Physician
44882
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100200760
—
KY
Enumeration date
12/05/2007
Last updated
07/30/2024
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