# HUBBARD CLINIC & CENTER FOR BLADDER CONTROL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Hubbard Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689607129
- **Authorized official:** DR. JOHN G HUBBARD M.D. (GOVERNING BODY / OWNER)
- **Authorized official phone:** (502) 893-3510

## Contact information

- **Practice address:** 3924 S DUPONT SQ, LOUISVILLE, KY 40207-5912
- **Practice address phone:** (502) 893-3510
- **Practice address fax:** (502) 894-9863
- **Mailing address:** 3924 S DUPONT SQ, LOUISVILLE, KY 40207-5912
- **Mailing address phone:** (502) 893-3510
- **Mailing address fax:** (502) 894-9863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 03/26/2013