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

Mr. Jamie C. Hubbard, CSA

Individual provider Surgical Technologist · NPI 1174837637

Mr. Jamie C. Hubbard, CSA is a Surgical Technologist in LA Grange, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

1023 New Moody Ln Ste 102
LA Grange, KY 40031-9177
Phone: (502) 222-0598
Fax: (502) 222-7446
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X
Surgical Technologist Taxonomy 246ZS0410X · Licence 3525 (KY)

Record details

NPI number1174837637
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESApril 17, 2019

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