IndividualActive
Jamie Hubbard, CSA
NPI 1174837637 · Surgical Assistant · La Grange, KY
Provider details
- NPI number
- 1174837637
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- No
- License
- 3525 (KY)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
1023 New Moody Ln
Suite 102
La Grange, KY 40031-9177
Phone: (502) 222-0598
Fax: (502) 222-7446
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 950248
Louisville, KY 40295-0248
Registry dates
- Enumerated
- 2010-07-27
- Last updated
- 2019-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.