Individual
DR. KATHRYN ELIZABETH KUBIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1811 W GRANT AVE, PAULS VALLEY, OK 73075-9202
(405) 238-6459
Mailing address
1811 W GRANT AVE, PAULS VALLEY, OK 73075-9202
(405) 238-6459
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3080
OK
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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