Kelly W Hubbard Md Pc in Logan - Clinical & Laboratory Dermatological Immunology
Kelly W Hubbard Md Pc - NPI 1770779985
Kelly W Hubbard Md Pc is a Clinical & Laboratory Dermatological Immunology in Logan, Utah. Kelly W Hubbard Md Pc practices all healthcare services and medical treatments related to Clinical & Laboratory Dermatological Immunology. The NPI Number for Kelly W Hubbard Md Pc is 1770779985. The last update date is 2007-11-08.
Kelly W Hubbard Md Pc's current location address is 274 N Main St, Logan, Utah. You can contact this provider via phone number 4357531600 and fax number 4357539521. The mailing address for Kelly W Hubbard Md Pc is 274 N Main St, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly W Hubbard Md Pc |
|---|---|
| Address | 274 N Main St, Logan, Utah |
| Phone Number | 4357531600 |
| Fax Number | 4357539521 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACCOUNTS M |
|---|---|
| Authorized Official Name | Kartsone Tracey |
| Telephone Number | 4357531600 |
NPI Number Detail
| NPI Number | 1770779985 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2007-11-08 |
Provider Mailing Address Detail
| Address | 274 N Main St |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843213915 |
| Phone Number | 4357531600 |
| Fax Number | 4357539521 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical & Laboratory Dermatological Immunology |
|---|---|
| Taxonomy | 207Ni0002X |
| Licence No | 3085198-1205 |
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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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What is the unique identifier code issued to Kelly W Hubbard Md Pc by the Centers for Medicare & Medicaid Services?
The Kelly W Hubbard Md Pc has been assigned the NPI (National Provider Identifier) 1770779985. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelly W Hubbard Md Pc?
The Kelly W Hubbard Md Pc is physically situated at 274 N Main St, in the city of Logan, state of UT, with the postal code 843213915.
What is Kelly W Hubbard Md Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly W Hubbard Md Pc is Clinical & Laboratory Dermatological Immunology, and the taxonomy classification code that categorizes this area of expertise is 207Ni0002X.
On what date was the 1770779985 assigned to Kelly W Hubbard Md Pc?
The Kelly W Hubbard Md Pc was issued its 1770779985 on 2007-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kelly W Hubbard Md Pc's information last updated?
The Kelly W Hubbard Md Pc's information was last updated on 2007-11-08.
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