Individual
DR. ADRIANA STONE MCCUBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 E GRAY ST, STE 802, LOUISVILLE, KY 40202-3904
(502) 588-2349
(502) 588-9535
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-2349
(502) 588-9535
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
41211
KY
208000000X
Pediatrics Physician
41211
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201010970
—
IN
05
—
7100026690
—
KY
Enumeration date
10/12/2007
Last updated
03/26/2024
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