Kelly W Hubbard in Providence - Procedural Dermatology
Kelly W Hubbard - NPI 1871542308
Kelly W Hubbard is a Procedural Dermatology in Providence, Utah. Kelly W Hubbard practices all healthcare services and medical treatments related to Procedural Dermatology. 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 | 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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Post Comment/ Review Below
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 Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207Ns0135X.
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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