| NPI | 1346588399 |
|---|---|
| Former Name | KELLY LYNN HUGHES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101256739) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101256739) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2023-12-04 |