| Doctor Name: | KRISTA HUBER |
| NPI Number: | 1972934982 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 2013040390 |
| Business Practice Address: | 708 E Highway 28 Owensville, MO - 650661588 |
| Business Phone Number: | 5734374481 |
| Business Fax Number: | |
| Mailing Address: | 2472 Highway A, WASHINGTON |
| State: | MO |
| Postal Code: | 630906417 |
| Phone Number: | 6362394834 |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2013 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2013040390 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |