Healthcare Provider Details

I. General information

NPI: 1255355541
Provider Name (Legal Business Name): JULIA M HUBER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 LINVILLE DR
PARIS KY
40361-2129
US

IV. Provider business mailing address

499 HINTON ROAD
SADIEVILLE KY
40370
US

V. Phone/Fax

Practice location:
  • Phone: 859-987-3600
  • Fax:
Mailing address:
  • Phone: 502-857-0275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number33193
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: