Individual
MR. CULLEN BURGESS KUBICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1053 CENTER STREET, SC HOUSE CALLS INC, WEST COLUMBIA, SC 29169
(800) 491-0909
Mailing address
1053 CENTER STREET, SC HOUSE CALLS INC, WEST COLUMBIA, SC 29169
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
23889
SC
Other
Enumeration date
05/26/2020
Last updated
10/21/2020
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