Individual
TRACEY L KUBIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5202 BETHEL REED PARK, SUITE 100, COLUMBUS, OH 43220-1818
(614) 447-9495
(614) 447-9163
Mailing address
5202 BETHEL REED PARK, SUITE 100, COLUMBUS, OH 43220-1818
(614) 447-9495
(614) 447-9163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
914407
OH
Other
Enumeration date
03/15/2007
Last updated
10/31/2016
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