Provider Demographics
NPI:1184148272
Name:HUBBELL, KATHERINE O'CONNELL
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:O'CONNELL
Last Name:HUBBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1385 COACH RD
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:NY
Mailing Address - Zip Code:12809-3811
Mailing Address - Country:US
Mailing Address - Phone:518-638-8353
Mailing Address - Fax:
Practice Address - Street 1:523 LOWER OAK ST
Practice Address - Street 2:
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-2676
Practice Address - Country:US
Practice Address - Phone:518-480-3351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist