Hubbard, Kelly W

Hubbard, Kelly W is an individual health care provider with primary practice located at 2245 N 400 E Ste 104 , North Logan UT 84341-1785. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Hubbard, Kelly W can be contacted via phone (435) 753-1600.

Contact Information

Primary practice address
2245 N 400 E Ste 104 North Logan UT 84341-1785
Phone: (435) 753-1600
Fax: (435) 753-9521
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 3085198-1205 Utah
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 3085198-1205 Utah
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 3085198-1205 Utah
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 3085198-1205 Utah

Profile Details

NPI number 1871542308
LBN Legal business name Hubbard, Kelly W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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