Individual
DR. KENNETH RAPHAEL KUBITSCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 VANDERBILT PARK DRIVE, SUITE 100, ASHEVILLE, NC 28803-1700
(828) 258-0397
(828) 258-3390
Mailing address
4 VANDERBILT PARK DRIVE, SUITE 100, ASHEVILLE, NC 28803-1700
(828) 258-0397
(828) 258-3390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29612
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208013A
MEDICARE ECP
NC
01
—
50443
BLUE CROSS NUMBER
NC
05
—
7950443
—
NC
Enumeration date
11/22/2005
Last updated
09/04/2012
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