Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY W HUBBARD MD PC
Active OrganizationKELLY W HUBBARD MD PC is a Dermatology organization located in LOGAN, Utah. NPI 1770779985 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LOGAN, UT
Registration Details
- NPI Number
- 1770779985
- Provider Type
- Organization
- NPI Issued
- Sep 20, 2007 (18.715107656683 yrs)
- Last Updated
- Nov 8, 2007
- Licenses
-
3085198-1205 (UT)3085198-1208 (UT)3085198-1205 (UT)3085198-1205 (UT)
Practice Information
- Address
-
2380 N 400 ESTE BLOGAN, UT, 843411749Browse UT providers · Browse ZIP 84341
- Phone
- 4357525741
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Dermatology
Other Dermatology Organizations in LOGAN, UT
| Name | NPI |
|---|---|
| IHC HEALTH SERVICES INC | 1699172122 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.