Individual
KATHRYN CHARLOTTE HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5515 UTICA RIDGE RD STE 600, DAVENPORT, IA 52807-3927
(563) 344-1050
(563) 424-4579
Mailing address
5130 WOODLAND CT, DAVENPORT, IA 52807-1253
(651) 341-0656
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
107195
IA
Other
Enumeration date
09/09/2019
Last updated
04/15/2024
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