Provider Demographics
NPI:1578781092
Name:HUBER, KAY LOUISE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:KAY
Middle Name:LOUISE
Last Name:HUBER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4714B CHARLES RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-7717
Mailing Address - Country:US
Mailing Address - Phone:717-979-3693
Mailing Address - Fax:
Practice Address - Street 1:248 SENECA ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-1840
Practice Address - Country:US
Practice Address - Phone:717-775-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP000855H363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology