MEDICARE: KATHERINE HUGHES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	034454	NY

General Provider Information

NPI Number	:	1538036496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE HUGHES

Provider Business Mailing Address
First Line	:	70619 HILLTOP DR
Second Line	:
City	:	UNION
State	:	MI
Zip	:	49130-9716
Country	:	US
Telephone Number	:	574-370-8428
Fax Number	:

Provider Business Practice Location Address
First Line	:	70619 HILLTOP DR
Second Line	:
City	:	UNION
State	:	MI
Zip	:	49130-9716
Country	:	US
Telephone Number	:	574-370-8428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

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Directions to “ KATHERINE HUGHES ” Practice Location

Language	Start Address	Practice Location

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