Provider Demographics
NPI:1861566374
Name:HUGHES, KRISTINA MARIE (COMS, TVI, CVRT)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:MARIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:COMS, TVI, CVRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-1540
Mailing Address - Country:US
Mailing Address - Phone:812-422-1181
Mailing Address - Fax:812-424-3154
Practice Address - Street 1:500 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1540
Practice Address - Country:US
Practice Address - Phone:812-422-1181
Practice Address - Fax:812-424-3154
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN743535156F00000X
IN2198156F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist