Individual
MR. KEVIN R HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006452
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006452CT01
BLUE CROSS BLUE SHIELD
CT
01
—
2671991
AETNA ID NUMBER
CT
01
—
2V4932
PHS HEALTHNET PROVIDER ID
CT
01
—
6404276
UHC PROVIDER ID
CT
01
—
761899
CONNECTICARE
CT
01
—
P3665127
OXFORD PROVIDER ID
CT
Enumeration date
01/11/2007
Last updated
10/03/2016
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