Individual
JACKSON WESLEY KUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2800 W NORFOLK AVE, NORFOLK, NE 68701-4402
(402) 371-8535
Mailing address
900 BLUE STEM CIR, NORFOLK, NE 68701-0839
(402) 841-8311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1511
NE
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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