Individual
DR. JENNIFER R.O. KUBISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43355
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016752
KAISER COMMERCIAL NUMBER
CO
05
—
18036295
—
CO
01
—
P00445033
MEDICARE RAILROAD
—
Enumeration date
05/04/2006
Last updated
10/30/2025
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