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Kelly W Hubbard MD PC

Dermatology Physician in Logan, UT · enumerated 2007 · authorized official Tracey Kartsone, Accounts Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770779985

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Registry record

Entity type Organization (Type 2)
Legal business name Kelly W Hubbard MD PC
Practice address 2380 N 400 E, Ste B, Logan, UT, 84341
Enumeration date Sep 20, 2007
Last updated in NPPES Nov 8, 2007

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 3085198-1205 (UT) Primary
207NI0002X Clinical & Laboratory Dermatological Immunology Physician Allopathic & Osteopathic Physicians · License 3085198-1205 (UT) Secondary
207NP0225X Pediatric Dermatology Physician Allopathic & Osteopathic Physicians · License 3085198-1208 (UT) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License 3085198-1205 (UT) Secondary

Authorized official

Name Tracey Kartsone
Title Accounts Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Kelly W Hubbard MD PC?
Kelly W Hubbard MD PC is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-08.