Individual
KIMERON BRODY HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
409 PROSPECT ST, NEWPORT, AR 72112-2727
(870) 217-2270
Mailing address
409 PROSPECT ST, NEWPORT, AR 72112-2727
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
10952
AR
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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