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Individual

KIRSTEN HUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 315-2998
(434) 392-7654
Mailing address
PO BOX 927, 5 E. ALVON ROAD, SUITE 7, WHITE SULPHUR SPRINGS, WV 24986-2373
(304) 536-5030
(304) 536-5031

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101058593
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10029132
OPTIMA/SENTARA
VA
05
1316943756
VA
01
2568995
CIGNA
VA
01
345613
ANTHEM BCBS (FARMVILLE)
VA
01
61459600
BLACK LUNG/FECA
VA
01
7127278
AETNA
VA
Enumeration date
06/21/2005
Last updated
10/15/2011
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