Kevin Samuel Hughes, DO

Individual provider Active NPI Diagnostic Radiology Physician · Burlington, KS

NPI 1124023841 · NPPES record last updated Jan 17, 2020

Key facts

NPI
1124023841
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
05-27194 (KS)
Practice address
801 N 4TH St
Burlington, KS 66839-2602
Phone
(620) 364-2121
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-27194KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Imaging Consultants, LLC Diagnostic Radiology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 05-27194 KS Yes

Addresses

Primary practice location

801 N 4TH St
Burlington, KS 66839-2602

Mailing address

PO Box 801682
Kansas City, MO 64180-1682
Phone (620) 231-3001

Other identifiers

IdentifierTypeStateIssuer
100293230DMedicaidKS

Other providers in Burlington, KS

All providers in Burlington, KS · Diagnostic Radiology Physician in Kansas

Sources for this page

Verify at the official NPI Registry.