Individual
DR. KENT R KUBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
10 HASSAN ST NE, HUTCHINSON, MN 55350-1800
(320) 587-2726
(320) 587-2469
Mailing address
10 HASSAN ST NE, PO BOX 49, HUTCHINSON, MN 55350-1800
(320) 587-2726
(320) 587-2469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10441
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036871700
—
MN
Enumeration date
09/11/2008
Last updated
09/11/2008
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