Kaleab Mycheal Damien Hubbard-holden, PTA is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in King, North Carolina. Kaleab Mycheal Damien Hubbard-holden is licensed to practice in North Carolina (license number A7216) and his current practice location is 167 Moore Rd Ste 203, King, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(336) 673-6490.
NPI number for Kaleab Mycheal Damien Hubbard-holden is 1174255210 and his current mailing address is 167 Moore Rd Ste 203, King, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174255210.
Physician's Profile
| Full Name | Kaleab Mycheal Damien Hubbard-holden |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 167 Moore Rd Ste 203, King, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174255210
- Provider Enumeration Date: 06/28/2022
- Last Update Date: 08/12/2022
Medical Identifiers
Medical identifiers for Kaleab Mycheal Damien Hubbard-holden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174255210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | A7216 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaleab Mycheal Damien Hubbard-holden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kaleab Mycheal Damien Hubbard-holden, PTA
167 Moore Rd Ste 203,
King, NC 27021-8770
Ph: (336) 673-6490 | Kaleab Mycheal Damien Hubbard-holden, PTA
167 Moore Rd Ste 203,
King, NC 27021-8770
Ph: (336) 673-6490 |
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