Kelly W Hubbard MD PC
Kelly W Hubbard MD PC is a Dermatology Physician in Logan, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2380 N 400 E Ste BLogan, UT 84341-1749
Phone: (435) 752-5741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 3085198-1205 (UT) |
|---|---|
| Clinical & Laboratory Dermatological Immunology Physician | Taxonomy 207NI0002X · Licence 3085198-1205 (UT) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence 3085198-1208 (UT) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 3085198-1205 (UT) |
Record details
| NPI number | 1770779985 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracey Kartsone — Accounts Manager · (435) 753-1600 |
| NPI enumerated | September 20, 2007 |
| Last updated in NPPES | November 8, 2007 |
| Mailing address | 274 N Main St, Logan, UT 84321-3915 |
Other providers in Logan
-
Ihc Health Services Inc
1350 N 500 E Budge Clinic Dermatology, Logan, UT 84341-2400 · (435) 716-1770