Individual
MRS. KATHERINE KUBAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2700 OLD ROSEBUD RD, 110, LEXINGTON, KY 40509-8623
(859) 264-1141
(859) 264-1963
Mailing address
2700 OLD ROSEBUD RD, 110, LEXINGTON, KY 40509-8623
(859) 264-1141
(859) 264-1963
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009724
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100433470
—
KY
Enumeration date
09/14/2015
Last updated
03/06/2017
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