Individual
BRYAN EDWARD KUBENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(979) 219-3946
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
04/14/2025
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