Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KALEAB MYCHEAL DAMIEN HUBBARD-HOLDEN, PTA
ActiveKALEAB MYCHEAL DAMIEN HUBBARD-HOLDEN, PTA is a Sports Medicine (PM&R) healthcare provider located in KING, North Carolina. NPI 1174255210 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · KING, NC
Registration Details
- NPI Number
- 1174255210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2022 (4.1711406067728 yrs)
- Last Updated
- Aug 12, 2022
- License
-
A7216 (NC)
Practice Information
- Address
-
167 MOORE RD STE 203KING, NC, 270218770Browse NC providers · Browse ZIP 27021
- Phone
- 3366736490
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.