Healthcare Provider Details

I. General information

NPI: 1538147772
Provider Name (Legal Business Name): KEVIN E. HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 AMES ST
BALDWIN CITY KS
66006-3099
US

IV. Provider business mailing address

325 MAINE STREET
LAWRENCE KS
66044
US

V. Phone/Fax

Practice location:
  • Phone: 785-505-5404
  • Fax: 785-505-5270
Mailing address:
  • Phone: 785-505-2988
  • Fax: 785-505-5228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-26396
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: