KRISTEN MARIE KUBIK


Address: 13970 Oakland Ct, Plymouth, MI 48170-5292
Phone: 8104712399

KRISTEN MARIE KUBIK (NPI# 1710543863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710543863
Entity Type Individual
Full Name KRISTEN MARIE KUBIK
Credential NP
Practice Address 13970 Oakland Ct
Plymouth
MI 48170-5292
Practice Telephone 8104712399
Mailing Telephone 8104712399
Enumeration Date 2019-05-14
Last Update Date 2019-05-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704299150 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI NP LICENSE NUMBER 4704299150 01

Office Location

Street Address 13970 OAKLAND CT
City PLYMOUTH
State MI
Zip Code 48170-5292

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477180826 Stephanie Jordan Nurse Practitioner 22 Cranberry Rd, Plymouth, MA 02360-2857 2020-03-25
1679931505 Hillary Costa Nurse Practitioner 45 Resnik Rd Ste 302, Plymouth, MA 02360-4883 2016-02-06
1811374747 Jill Marie Geer Nurse Practitioner 510 W Adams St, Suite 150, Plymouth, IN 46563-1765 2015-04-29
1740677921 Inner Banks Family Medicine Nurse Practitioner 543 Us Highway 64 W, Plymouth, NC 27962-2144 2015-04-24
1952706210 Elizabeth Nelson-frazier Nurse Practitioner 50 Aldren Road, Plymouth, MA 02061-2711 2014-10-29
1902206899 Kathleen E Steensma Nurse Practitioner 15700 37th Ave N. #110, Plymouth, MN 55446 2014-08-27
1730595943 Nicole Lee Nurse Practitioner 10 Bay Cliff Cir, Plymouth, MA 02360-1458 2014-07-08
1700122579 Renae Charlene Atkins Nurse Practitioner 2855 Miller Dr Ste 119, Plymouth, IN 46563-8091 2012-12-21
1396097069 Kristin Lynn Spencer Nurse Practitioner 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 2012-10-05
1083987358 Allison Woolley Ludlow Nurse Practitioner 7285 W 21200 N, Plymouth, UT 84330-0100 2012-02-17
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Competitor

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City PLYMOUTH
Zip Code 48170

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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