Individual
KENNETH KUBERSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10675 LEE HWY, FAIRFAX, VA 22030-4314
(703) 352-0925
Mailing address
8323 MAGIC LEAF RD, SPRINGFIELD, VA 22153-2527
(703) 644-8569
(703) 273-4512
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000605
VA
Other
Enumeration date
06/25/2006
Last updated
07/08/2007
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