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NPI Code Detail

MEDICARE: DR. JUSTIN HUBER M.D.

MEDICARE: DR. JUSTIN HUBER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician01099076AIN
2208100000XPhysical Medicine & Rehabilitation PhysicianTP625KY
3390200000XStudent in an Organized Health Care Education/Training Program
4208100000XPhysical Medicine & Rehabilitation PhysicianR3796KY

General Provider Information

NPI Number : 1760864144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN HUBER M.D.
Provider Business Mailing Address
First Line : 2050 VERSAILLES RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-1405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2050 VERSAILLES RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-1405
Country : US
Telephone Number : 859-257-4890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2015
Last Update Date : 02/17/2026

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Directions to “ DR. JUSTIN HUBER M.D.” Practice Location

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