Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | Q2907 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 49229 | KY |
NPI | 1952627226 |
---|---|
Provider Name | Elizabeth Walker Hubbard |
First Address | Lexington, KY 40508-2924 |
Second Address | Lexington, KY 40508-3206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2010 |
Last Update Date | 17/03/2018 |