MEDICARE: DR. KIMBERLY ELIZABETH MCHUGH D.C.

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	111NP0017X	Pediatric Chiropractor	33239	CA

General Provider Information

NPI Number	:	1427437250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY ELIZABETH MCHUGH D.C.

Provider Business Mailing Address
First Line	:	2201 SAN DIEGUITO DR
Second Line	:	SUITE A
City	:	DEL MAR
State	:	CA
Zip	:	92014-2256
Country	:	US
Telephone Number	:	951-667-0763
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 SAN DIEGUITO DR
Second Line	:	SUITE A
City	:	DEL MAR
State	:	CA
Zip	:	92014-2256
Country	:	US
Telephone Number	:	951-667-0763
Fax Number	:

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

Provider Enumeration Date	:	05/26/2015
Last Update Date	:	05/26/2015

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