Individual
KELLEN KUBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2835 MIAMI VILLAGE DR, MIAMISBURG, OH 45342-4916
(937) 449-0796
(937) 262-7468
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-7650
(937) 262-7468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018038
OH
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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