Individual
SAMANTHA KUBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 LAURA LN STE 130, MIDDLETON, WI 53562-1872
(888) 688-4746
Mailing address
3030 LAURA LN STE 130, MIDDLETON, WI 53562-1872
(888) 688-4746
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11903
WI
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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