Provider Demographics
NPI:1629066048
Name:HUBBS, KAREN L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:HUBBS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:KY
Mailing Address - Zip Code:40734-0385
Mailing Address - Country:US
Mailing Address - Phone:606-528-1978
Mailing Address - Fax:
Practice Address - Street 1:419 KNOX ST
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-1328
Practice Address - Country:US
Practice Address - Phone:606-546-3171
Practice Address - Fax:606-546-5022
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY568677OtherBLACK LUNG
KY90030610Medicaid
KY000000070031OtherBLUE CROSS/BLUE SHIELD
KY54014253Medicaid
KY1809625OtherNABP
KY90030610Medicaid