Individual
KATHRYN GUNN HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3329 N RICHMOND ST, APPLETON, WI 54911-1063
(812) 353-6821
Mailing address
3329 N RICHMOND ST, APPLETON, WI 54911-1063
(317) 701-7818
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001018A
IN
363A00000X
Physician Assistant
1916
TN
363A00000X
Physician Assistant
Primary
3627-23
WI
Other
Enumeration date
09/03/2008
Last updated
08/18/2015
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