NPI 1871542308

Kelly W Hubbard, MD

Practitioner Dermatology Physician North Logan, UT

Practice location

Address: 2245 N 400 E STE 104, North Logan, UT 84341-1785
Phone: (435) 753-1600
Fax: (435) 753-9521
Mailing address: 560 W 465 N STE 604, Providence, UT 84332-8006

Registered specialties (4)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 3085198-1205 (UT)

Other Dermatology providers in Utah →

Clinical & Laboratory Dermatological Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NI0002X Licence 3085198-1205 (UT)

Pediatric Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence 3085198-1205 (UT)

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 3085198-1205 (UT)

Registry record

NPI: 1871542308
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2006
Record last updated: 18 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.