Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY W HUBBARD, M.D.
ActiveKELLY W HUBBARD, M.D. is a Dermatology healthcare provider located in NORTH LOGAN, Utah. NPI 1871542308 is currently active in the NPPES registry. Verify at CMS.
Dermatology · NORTH LOGAN, UT
Registration Details
- NPI Number
- 1871542308
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2006 (20.079491084542 yrs)
- Last Updated
- Jul 18, 2023
- Licenses
-
3085198-1205 (UT)3085198-1205 (UT)3085198-1205 (UT)3085198-1205 (UT)
Practice Information
- Address
-
2245 N 400 E STE 104NORTH LOGAN, UT, 843411785Browse UT providers · Browse ZIP 84341
- Phone
- 4357531600
- Fax
- 4357539521
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Dermatology
Other Dermatology Providers in NORTH LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT P YOUNG | M.D. | 1013910744 |
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.