Provider Demographics
NPI:1427437250
Name:MCHUGH, KIMBERLY ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ELIZABETH
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 SAN DIEGUITO DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2256
Mailing Address - Country:US
Mailing Address - Phone:951-667-0763
Mailing Address - Fax:
Practice Address - Street 1:2201 SAN DIEGUITO DR
Practice Address - Street 2:SUITE A
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2256
Practice Address - Country:US
Practice Address - Phone:951-667-0763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33239111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor