Provider Demographics
NPI:1053806489
Name:HUGHES, KRISTEN LISA (MD)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LISA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1371 CAMPBELL DR
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-3554
Mailing Address - Country:US
Mailing Address - Phone:248-802-7145
Mailing Address - Fax:
Practice Address - Street 1:172 4TH ST SE
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-2590
Practice Address - Country:US
Practice Address - Phone:605-353-6200
Practice Address - Fax:605-353-6300
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD12808207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine