Healthcare Provider Details

I. General information

NPI: 1255050530
Provider Name (Legal Business Name): PAIGE HUGHES LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 E 21ST ST N
WICHITA KS
67214-2249
US

IV. Provider business mailing address

1922 S SMITHMOOR ST
WICHITA KS
67207-7706
US

V. Phone/Fax

Practice location:
  • Phone: 316-691-0249
  • Fax:
Mailing address:
  • Phone: 913-909-7758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12780
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: