Kelly W Hubbard MD PC

NPI #1770779985 in Logan, Utah

Provider Information

NPI Number: 1770779985
Entity Type: Organization
Organization Name: Kelly W Hubbard MD PC
Primary Specialty: Dermatology
Enumeration Date: Sep 20, 2007
Last Updated: Nov 8, 2007

Practice Location

Address: 2380 N 400 E
Address 2: STE B
City: Logan
State: Utah
ZIP Code: 84341-1749
Phone: (435) 752-5741

Authorized Official

Name: TRACEY KARTSONE
Title: ACCOUNTS MANAGER
Phone: (435) 753-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Clinical & Laboratory Dermatological Immunology — Clinical & Laboratory Dermatological Immunology	207NI0002X
Dermatology - Pediatric Dermatology — Pediatric Dermatology	207NP0225X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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