Individual
MR. JAMIE C. HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1023 NEW MOODY LN, SUITE 102, LA GRANGE, KY 40031-9177
(502) 222-0598
(502) 222-7446
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-1035
(502) 253-1037
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
246ZS0410X
Surgical Technologist
3525
KY
Other
Enumeration date
07/27/2010
Last updated
04/17/2019
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