Kathleen Keaton Hubbard PTA

NPI 1770775819 - Specialist - 174400000X

NPI Details
NPI 1770775819
Gender Female
Enumeration Date 08/13/2007
Last Updated 08/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
513 E CAPRI DR
BONNE TERRE MO, 63628-9331, US
Phone (573) 358-7356
Fax (573) 358-7356
Business Location
513 E CAPRI DR
BONNE TERRE MO, 63628-9331, US
Phone (573) 358-7356
Fax (573) 358-7356
Toxanomy
Taxonomy Code 174400000X
License State Missouri
License Number 116158
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According to our database, Kathleen Keaton Hubbard PTA NPI is 1770775819, taxonomy code is 174400000X and license number is 116158, license state is located at Missouri. Kathleen Keaton Hubbard PTA physically located at 513 E Capri Dr, Bonne Terre MO, 63628-9331. NPI Number Kathleen Keaton Hubbard PTA has the Individual type.

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1770775819 NPI number is provided on an as is basis without warranty of any kind. 1770775819 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Keaton Hubbard PTA are for informational purposes only.