Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 44016 | KY |
N | 204F00000X | Transplant Surgeon | 99098912A | IN |
N | 208200000X | Surgeon | 44016 | KY |
N | 208600000X | Surgeon | 44016 | KY |
N | 208200000X | Surgeon | 99098912A | IN |
N | 208600000X | Surgeon | 99098912A | IN |
NPI | 1831133644 |
---|---|
Provider Name | Michael G. Hughes JR. |
First Address | Louisville, KY 40245-5395 |
Second Address | Louisville, KY 40245-5395 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 09/07/2020 |