Provider Demographics
NPI:1689675803
Name:HUGHES, KARIN LEE (MD)
Entity type:Individual
Prefix:DR
First Name:KARIN
Middle Name:LEE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:643 PANORAMA DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-4028
Mailing Address - Country:US
Mailing Address - Phone:801-870-0473
Mailing Address - Fax:
Practice Address - Street 1:2501 BLICHMANN AVE STE 107
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1031
Practice Address - Country:US
Practice Address - Phone:970-462-7107
Practice Address - Fax:888-631-0871
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0054372207QH0002X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
005798501Medicare ID - Type Unspecified
H70522Medicare UPIN