Individual
KRISTEN MARIE KUBIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13970 OAKLAND CT, PLYMOUTH, MI 48170-5292
(810) 471-2399
Mailing address
13970 OAKLAND CT, PLYMOUTH, MI 48170-5292
(810) 471-2399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704299150
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0039097
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704299150
NP LICENSE NUMBER
MI
Enumeration date
05/14/2019
Last updated
09/05/2025
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