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Individual

DR. MARY ROBINSON HUBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-8880
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5754
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35920
KY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35920
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200375000
IN
01
50032159
PASSPORT
KY
Enumeration date
11/02/2009
Last updated
08/29/2024
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