# KELLY KUBISEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225700560
- **Gender:** F
- **Credential:** RN, ACCNS-N, RNC-NIC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WN0002X | Neonatal Intensive Care Registered Nurse | RN659483 | PA | Yes |
| 364SN0000X | Neonatal Clinical Nurse Specialist | CNS000370 | PA | — |

## Other

- **Enumeration date:** 10/05/2021
- **Last updated:** 09/18/2025