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NPI Code Detail

MEDICARE: KANDACE HUGHES BS

MEDICARE: KANDACE HUGHES BS
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
1101YM0800XMental Health Counselor
2104100000XSocial Worker8745-POK

General Provider Information

NPI Number : 1598987976
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANDACE HUGHES BS
Provider Business Mailing Address
First Line : 203 2ND AVE SW
Second Line :
City : MIAMI
State : OK
Zip : 74354-6818
Country : US
Telephone Number : 918-542-6412
Fax Number : 918-542-6412
Provider Business Practice Location Address
First Line : 58150 E 66 RD
Second Line :
City : MIAMI
State : OK
Zip : 74354-6509
Country : US
Telephone Number : 918-542-1786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 09/01/2022

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