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Individual

KELLY KUBISEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ACCNS-N, RNC-NIC

Contact information

Practice address
690 GOOD DR, LANCASTER, PA 17601-2433
(717) 544-3475
Mailing address
690 GOOD DR, LANCASTER, PA 17601-2433
(717) 544-3475

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
RN659483
PA
364SN0000X
Neonatal Clinical Nurse Specialist
CNS000370
PA

Other

Enumeration date
10/05/2021
Last updated
09/18/2025
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