Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 44882 | KY |
NPI | 1982886586 |
---|---|
Provider Name | Mrs. Kalista J Hughes-Hester |
First Address | Bardstown, KY 40004-9019 |
Second Address | Bardstown, KY 40004-9019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2007 |
Last Update Date | 07/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
60044B | (02) |