Individual
DR. JOHN A MCCUBBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
216 W 15TH ST, HOPKINSVILLE, KY 42240-2036
(270) 885-3937
(270) 886-0107
Mailing address
216 W 15TH ST, HOPKINSVILLE, KY 42240-2036
(270) 885-3937
(270) 886-0107
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000074576
ANTHEM BCBS
KY
01
—
169424154468
HUMANA
KY
05
—
64242712
—
KY
Enumeration date
07/26/2006
Last updated
07/08/2007
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