Provider Demographics
NPI:1285378497
Name:HUGHES, KIERAN JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:KIERAN
Middle Name:JOHN
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-5121
Mailing Address - Country:US
Mailing Address - Phone:732-295-0165
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDREN'S WAY
Practice Address - Street 2:8232 DOCTORS OFFICE TOWER
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232
Practice Address - Country:US
Practice Address - Phone:615-936-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-24
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program