Provider Demographics
NPI:1679802698
Name:LOVIG HUGHES, KATHY M (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:M
Last Name:LOVIG HUGHES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24051 NEWHALL RANCH RD
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5707
Mailing Address - Country:US
Mailing Address - Phone:661-254-6364
Mailing Address - Fax:661-254-6787
Practice Address - Street 1:24051 NEWHALL RANCH RD
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5707
Practice Address - Country:US
Practice Address - Phone:661-254-6364
Practice Address - Fax:661-254-6787
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20637363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEE936ZMedicare PIN