Individual
DR. KENNETH L UBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 CUNNINGHAM COR, BELLA VISTA, AR 72714-3520
(479) 855-1247
(479) 855-1249
Mailing address
5 CUNNINGHAM COR, BELLA VISTA, AR 72714-3520
(479) 855-1247
(479) 855-1249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C-8212
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122172001
—
AR
Enumeration date
05/15/2006
Last updated
07/11/2007
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