Provider Demographics
NPI:1174619845
Name:MCHUGH, DIANNE S (D O)
Entity type:Individual
Prefix:DR
First Name:DIANNE
Middle Name:S
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:D O
Other - Prefix:DR
Other - First Name:DIANNE
Other - Middle Name:S
Other - Last Name:MCHUGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:D O
Mailing Address - Street 1:407 S CLAIRBORNE RD
Mailing Address - Street 2:STE 106
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1744
Mailing Address - Country:US
Mailing Address - Phone:913-829-6601
Mailing Address - Fax:913-829-6201
Practice Address - Street 1:407 S CLAIRBORNE RD
Practice Address - Street 2:STE 106
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1744
Practice Address - Country:US
Practice Address - Phone:913-829-6601
Practice Address - Fax:913-829-6201
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS20526207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine