Provider Demographics
NPI:1134268972
Name:HUBER, KRISTIN JANAE (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:JANAE
Last Name:HUBER
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 1:1541 S SCATTERFIELD RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-5784
Mailing Address - Country:US
Mailing Address - Phone:765-649-1991
Mailing Address - Fax:
Practice Address - Street 1:1541 S SCATTERFIELD RD
Practice Address - Street 2:SUITE A
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-5784
Practice Address - Country:US
Practice Address - Phone:765-649-1991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002174A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor