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NPI Code Detail

MEDICARE: KEYONIA HUGHES

MEDICARE:   KEYONIA  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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386132694
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEYONIA HUGHES
Provider Business Mailing Address
First Line : 1907 WASHINGTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63103-1623
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1907 WASHINGTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63103-1623
Country : US
Telephone Number : 314-792-8418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2018
Last Update Date : 04/23/2018

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Directions to “ KEYONIA HUGHES ” Practice Location

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