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NPI Code Detail

MEDICARE: KIRSTEN HUBER MD

MEDICARE: KIRSTEN HUBER MD
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
1208600000XSurgery Physician0101058593VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110029132OTHERVAOPTIMA/SENTARA
261459600OTHERVABLACK LUNG/FECA
3345613OTHERVAANTHEM BCBS (FARMVILLE)
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
57127278OTHERVAAETNA
62568995OTHERVACIGNA

General Provider Information

NPI Number : 1316943756
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTEN HUBER MD
Provider Business Mailing Address
First Line : PO BOX 927
Second Line : 5 E. ALVON ROAD, SUITE 7
City : WHITE SULPHUR SPRINGS
State : WV
Zip : 24986-2373
Country : US
Telephone Number : 304-536-5030
Fax Number : 304-536-5031
Provider Business Practice Location Address
First Line : 800 OAK ST
Second Line :
City : FARMVILLE
State : VA
Zip : 23901-1199
Country : US
Telephone Number : 434-315-2998
Fax Number : 434-392-7654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 10/15/2011

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