Individual
MS. MARY KATHERINE KUBACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5187 LOWELL BLVD, APT #2, DENVER, CO 80221-1000
(630) 234-0627
Mailing address
5187 LOWELL BLVD, APT #2, DENVER, CO 80221-1000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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