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NPI Code Detail

MEDICARE: KENISE S HUGHES RDH

MEDICARE:   KENISE S HUGHES  RDH
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
1124Q00000XDental HygienistHYG1001098DC

General Provider Information

NPI Number : 1922855352
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENISE S HUGHES RDH
Provider Business Mailing Address
First Line : 11522 TIMBERBROOK DR
Second Line :
City : WALDORF
State : MD
Zip : 20601-2935
Country : US
Telephone Number : 202-460-8174
Fax Number :
Provider Business Practice Location Address
First Line : 3301 NEW MEXICO AVE NW STE 323
Second Line :
City : WASHINGTON
State : DC
Zip : 20016-3624
Country : US
Telephone Number : 202-686-6333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2024
Last Update Date : 05/03/2024

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Directions to “ KENISE S HUGHES RDH” Practice Location

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