Kelly W Hubbard in Providence - Clinical & Laboratory Dermatological Immunology

Kelly W Hubbard - NPI 1871542308

Kelly W Hubbard is a Clinical & Laboratory Dermatological Immunology in Providence, Utah. Kelly W Hubbard practices all healthcare services and medical treatments related to Clinical & Laboratory Dermatological Immunology. The NPI Number for Kelly W Hubbard is 1871542308. The last update date is 2023-07-18.

Kelly W Hubbard's current location address is 560 W 465 N Ste 604, Providence, Utah. You can contact this provider via phone number 4357531600 and fax number 4357539521. The mailing address for Kelly W Hubbard is 560 W 465 N Ste 604, Providence, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly W Hubbard
Address 560 W 465 N Ste 604, Providence, Utah
Phone Number 4357531600
Fax Number 4357539521
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1871542308
Provider Enumeration Date 2006-05-10
Last Updated Date 2023-07-18

Provider Mailing Address Detail

Address 560 W 465 N Ste 604
City Providence
State Utah (UT)
Post Code 843328006
Phone Number 4357531600
Fax Number 4357539521

Provider's Primary Taxonomy Detail

Speciality Clinical & Laboratory Dermatological Immunology
Taxonomy 207Ni0002X
Licence No 3085198-1205
Definition:
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and

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FAQs about Kelly W Hubbard

What is the unique provider identifier assigned to Kelly W Hubbard?

The Kelly W Hubbard has been issued the NPI (National Provider Identifier) 1871542308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Kelly W Hubbard?

The Kelly W Hubbard is physically situated at 560 W 465 N Ste 604, in the city of Providence, state of UT, with the postal code 843328006.

What is the area of specialization for Kelly W Hubbard, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kelly W Hubbard is Clinical & Laboratory Dermatological Immunology, and the corresponding taxonomy code that categorizes this area of expertise is 207Ni0002X.

On what date was the 1871542308 assigned to Kelly W Hubbard?

The Kelly W Hubbard was issued its 1871542308 on 2006-05-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Kelly W Hubbard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kelly W Hubbard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-07-18.

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