Kelly W Hubbard MD PC
NPI 1770779985 · Dermatology Physician · Logan, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly W Hubbard MD PC is a Dermatology Physician organization in Logan, UT (NPI 1770779985).
Provider details
- NPI number
- 1770779985
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracey Kartsone, Accounts Manager(435) 753-1600
- License
- 3085198-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-20
- Last updated
- 2007-11-08
Frequently asked questions
- What is Kelly W Hubbard MD PC's NPI number?
- Kelly W Hubbard MD PC's National Provider Identifier (NPI) is 1770779985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly W Hubbard MD PC?
- Kelly W Hubbard MD PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly W Hubbard MD PC located?
- Kelly W Hubbard MD PC's practice location on file with NPPES is 2380 N 400 E, Logan, UT 84341-1749.
- What is Kelly W Hubbard MD PC's phone number?
- The practice phone number listed in the NPPES registry for Kelly W Hubbard MD PC is (435) 752-5741.
- Does Kelly W Hubbard MD PC accept Medicare?
- Kelly W Hubbard MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kelly W Hubbard MD PC?
- The authorized official listed on Kelly W Hubbard MD PC's NPPES record is Tracey Kartsone, Accounts Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly W Hubbard MD PC's NPI active?
- Yes — Kelly W Hubbard MD PC's NPI (1770779985) is active in the NPPES registry as of the last update on 2007-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.