Individual
DR. JERRY KEITH KUBENA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 28 3/4 RD, GRAND JUNCTION, CO 81501-5016
(970) 263-4918
Mailing address
PO BOX 424, BULLHEAD CITY, AZ 86430-0424
(800) 562-8663
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A121373
CA
2084P0800X
Psychiatry Physician
DR.0057761
CO
Other
Enumeration date
06/29/2007
Last updated
10/24/2017
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