Kelly W Hubbard, MD is a medicare enrolled "Dermatology" physician in North Logan, Utah. His current practice location is
2245 N 400 E Ste 104, North Logan, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 753-1600.
Kelly W Hubbard is licensed to practice in Utah (license number 3085198-1205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871542308.
Physician's Profile
| Full Name | Kelly W Hubbard |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2245 N 400 E Ste 104, North Logan, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly W Hubbard attended and graduated from in
NPI Data:
- NPI Number: 1871542308
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelly W Hubbard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871542308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 3085198-1205 (Utah) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 3085198-1205 (Utah) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 3085198-1205 (Utah) | Secondary |
| 207N00000X | Dermatology | 3085198-1205 (Utah) | 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. Kelly W Hubbard is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly W Hubbard, MD
560 W 465 N Ste 604,
Providence, UT 84332-8006
Ph: (435) 753-1600 | Kelly W Hubbard, MD
2245 N 400 E Ste 104,
North Logan, UT 84341-1785
Ph: (435) 753-1600 |
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