Individual
THOMAS C HUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 DIXIE HWY, SUITE 127, LOUISVILLE, KY 40258-3913
(502) 935-5633
(502) 935-5706
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32031
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047025
BLUE SHIELD
KY
05
—
7100891560
—
KY
Enumeration date
11/25/2005
Last updated
05/13/2024
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