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: |