Provider Demographics
NPI:1306421250
Name:MAYHUGH, KENT E (RN)
Entity type:Individual
Prefix:
First Name:KENT
Middle Name:E
Last Name:MAYHUGH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20540 HIGHWAY 46 W STE 115
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6825
Mailing Address - Country:US
Mailing Address - Phone:210-663-1886
Mailing Address - Fax:210-579-7277
Practice Address - Street 1:147 AUBURN RDG
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6001
Practice Address - Country:US
Practice Address - Phone:210-663-0169
Practice Address - Fax:210-579-7277
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX610384163WH0200X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WH0200XNursing Service ProvidersRegistered NurseHome Health