Individual
ANTHONY HUBBUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2355 POPLAR LEVEL RD, STE. 200-A, LOUISVILLE, KY 40217-1395
(502) 636-7444
(502) 636-7340
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15514
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350760
ANTHEM / NCMA
KY
01
—
000028412J
HUMANA / NCMA
KY
01
—
047929
SIHO / NCMA
KY
01
—
1184115
CHA / NCMA
KY
05
—
200506590
—
IN
01
—
2446880000
PASSPORT ADVANTAGE / NCMA
KY
01
—
50005577
PASSPORT / NCMA
KY
05
—
64162563
—
KY
01
—
P00176900
RAILROAD MEDICARE
KY
Enumeration date
04/20/2006
Last updated
07/09/2013
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