| Doctor Name: | KELLI MICHELLE HUBERT |
| NPI Number: | 1124383245 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | F0512344 |
| Business Practice Address: | 415 S 6th St Kingsville, TX - 783635518 |
| Business Phone Number: | 3615933237 |
| Business Fax Number: | |
| Mailing Address: | 639 E Fm 628, RIVIERA |
| State: | TX |
| Postal Code: | 783793579 |
| Phone Number: | 3612468843 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2012 |
| NPI Last Update Date: | 07/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0512344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |