Individual
DR. JENNIFER LYNN KUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1504 SPRINGHILL AVE, MOBILE OUTPATIENT CLINIC, MOBILE, AL 36604
(251) 219-3900
Mailing address
12619 WAXWING AVE, SPANISH FORT, AL 36527-5258
(216) 410-5486
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36.003417
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
05/25/2006
Last updated
06/26/2018
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