Individual
DR. JAMES DANIEL KUBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, SUPPLY, NC 28462-3350
(910) 755-1004
(910) 755-1474
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 755-1004
(910) 755-1474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9801344
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891157M
—
NC
Enumeration date
02/04/2006
Last updated
07/19/2010
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