Individual
KYLE JAMES HUBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1705 WARREN AVE STE 101-103, WILLIAMSPORT, PA 17701-2647
(570) 321-2020
(570) 320-7576
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
(570) 326-8922
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2015-00346
NC
207X00000X
Orthopaedic Surgery Physician
53802
MN
207X00000X
Orthopaedic Surgery Physician
Primary
OS016005
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
53802
MN
207XX0801X
Orthopaedic Trauma Physician
53802
MN
Other
Enumeration date
06/28/2007
Last updated
01/27/2023
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