Individual
KENNETH C HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11676 PERRY HWY, SUITE 1304, WEXFORD, PA 15090-7201
(724) 935-6633
(724) 935-2600
Mailing address
11676 PERRY HWY, SUITE 1304, WEXFORD, PA 15090-7201
(724) 935-6633
(724) 935-2600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
038716E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011105620005
—
PA
01
—
060024001
PALMETTO RAILROAD MEDICARE
PA
Enumeration date
02/13/2006
Last updated
08/13/2008
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