Individual
KEVIN W. HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11434 E MISSION LN, SCOTTSDALE, AZ 85259-5821
(480) 286-8808
Mailing address
11485 E PINE VALLEY RD, SCOTTSDALE, AZ 85255-1891
(480) 286-8808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2532
OK
207P00000X
Emergency Medicine Physician
F36445
MS
208D00000X
General Practice Physician
005913
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124356
—
MS
05
—
100204600A
—
OK
01
—
1407890601
BLUE SHIELD
OK
Enumeration date
06/16/2006
Last updated
09/08/2025
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