Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly W Hubbard, MD

Individual provider Clinical & Laboratory Dermatological Immunology Physician · NPI 1871542308

Kelly W Hubbard, MD is a Dermatology in North Logan, Utah. Graduated from University of Utah School of Medicine in 1996, 30 years ago. Practices with Kelly W Hubbard MD PC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
30
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2245 N 400 E Ste 104
North Logan, UT 84341-1785
Phone: (435) 753-1600
Fax: (435) 753-9521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 W 465 N Ste 701, Providence, UT 84332-8006 — (435) 752-5741

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 3085198-1205 (UT)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 3085198-1205 (UT)

Record details

NPI number1871542308
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Kelly W Hubbard Md Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in North Logan