Provider Demographics
NPI:1821392010
Name:HULBERT, KATHERINE D (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:D
Last Name:HULBERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 CORRY ST
Mailing Address - Street 2:
Mailing Address - City:YELLOW SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45387-1812
Mailing Address - Country:US
Mailing Address - Phone:937-767-7251
Mailing Address - Fax:937-767-7252
Practice Address - Street 1:233 CORRY ST
Practice Address - Street 2:
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-1812
Practice Address - Country:US
Practice Address - Phone:937-767-7251
Practice Address - Fax:937-767-7252
Is Sole Proprietor?:No
Enumeration Date:2011-01-02
Last Update Date:2011-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4121111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor