Individual
CHRISTOPHER T. KUEBRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
724 MEDICAL CENTER DR E STE 106, CLOVIS, CA 93611-6811
(559) 387-2090
(559) 387-2099
Mailing address
670 MASON RIDGE CENTER DR, STE. 300, SAINT LOUIS, MO 63141-8573
(314) 996-7644
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036116096
IL
207Q00000X
Family Medicine Physician
C54664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036116096
IDPA
IL
01
—
P00367125
RR MCR
—
Enumeration date
06/09/2006
Last updated
11/07/2025
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