KATHLEEN KEATON HUBBARD PTA
NPI 1770775819
Specialist in Bonne Terre, MO
- Individual
- Female
- Specialist
About KATHLEEN HUBBARD
This page provides the complete NPI Profile along with additional information for Kathleen Hubbard, a provider established in Bonne Terre, Missouri with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1770775819 assigned on August 2007. The practitioner's primary taxonomy code is 174400000X with license number 116158 (MO). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1770775819 Verify this NPI
- Provider Name
- KATHLEEN KEATON HUBBARD PTA
- Other Name
- KATHLEEN ANN KEATON
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 513 E CAPRI DR BONNE TERRE, MO 63628
- Location Phone
- (573) 358-7356
- Location Fax
- (573) 358-7356
- Mailing Address
- 513 E CAPRI DR BONNE TERRE, MO 63628
- Mailing Phone
- (573) 358-7356
- Mailing Fax
- (573) 358-7356
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-13-2007
- Last Update Date
- 08-13-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 116158
- License State
- MO
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770775819, enumerated as an "individual" on August 13, 2007.
The provider is located at 513 E CAPRI DR BONNE TERRE, MO 63628 and the phone number is (573) 358-7356.
Specialist with taxonomy code 174400000X.
