Healthcare Provider Details

I. General information

NPI: 1821392010
Provider Name (Legal Business Name): KATHERINE D. HULBERT D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2011
Last Update Date: 01/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 CORRY ST
YELLOW SPRINGS OH
45387-1812
US

IV. Provider business mailing address

233 CORRY ST
YELLOW SPRINGS OH
45387-1812
US

V. Phone/Fax

Practice location:
  • Phone: 937-767-7251
  • Fax: 937-767-7252
Mailing address:
  • Phone: 937-767-7251
  • Fax: 937-767-7252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4121
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: