Most Relevant Information
Provider Data
NPI Number: | 1003290594 |
Provider Name: | KRIS HUBER |
Entity Type: | Individual |
Taxonomy Code: | 251S00000X |
Specialty: | Community/Behavioral Health |
License Number: |
Most Important Dates
Enumeration Date: | 07/14/2015 |
Last Updated: | 07/14/2015 |
Provider Practice Location
905 GURLEY AVE
GILLETTE
WY
82716
Practice Location Phone/Fax
Phone: | 3076860669 |
Fax: |
Provider Mailing Location
4151 CENTENNIAL DR
GILLETTE
WY
827169148
Provider Mailing Phone/Fax
Phone: | 3076601751 |
Fax: |