Individual
KARL CHRISTOPHER KUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 S DIVISION ST, MOSES LAKE, WA 98837-3800
(509) 766-9450
(509) 766-1954
Mailing address
615 S DIVISION ST, MOSES LAKE, WA 98837-3800
(509) 766-9450
(509) 766-1954
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00026434
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091719
—
WA
Enumeration date
06/23/2005
Last updated
03/29/2010
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