Kelly W Hubbard Md Pc in Logan - Procedural Dermatology
Kelly W Hubbard Md Pc - NPI 1770779985
Kelly W Hubbard Md Pc is a Procedural Dermatology in Logan, Utah. Kelly W Hubbard Md Pc practices all healthcare services and medical treatments related to Procedural Dermatology. 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 | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 3085198-1205 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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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 Procedural Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207Ns0135X.
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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