Organization
KENNETH C HUBER, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH C HUBER MD (PRESIDENT)
(724) 935-6633
Entity
Organization
Contact information
Practice address
11676 PERRY HWY, SUITE 1304, WEXFORD, PA 15090-7201
(724) 935-6633
(724) 935-2600
Mailing address
11676 PERRY HWY, SUITE 1304, WEXFORD, PA 15090-7201
(724) 935-6633
(724) 935-2600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
038716E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011105620005
—
PA
Enumeration date
04/28/2008
Last updated
04/29/2008
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