Individual
ASHLEY L KUBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-6525
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
127680
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139092
MO BLUE SHIELD
MO
05
—
159925758
—
AR
05
—
424658805
—
MO
01
—
82346
ARK BLUE SHIELD
AR
Enumeration date
02/15/2007
Last updated
07/14/2008
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