Organization
KRZYSZTOF J KUBICKI, MD
Active
Organization
KRZYSZTOF J KUBICKI, MD
Active
Other names
Christopher J. Kubicki, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRZYSZTOF J KUBICKI MD (OWNER)
(304) 387-2761
Entity
Organization
Contact information
Practice address
111 FIRST AVE, CHESTER, WV 26034
(304) 387-2761
Mailing address
PO BOX 2407, WEIRTON, WV 26062-1607
(304) 387-2761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17474
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006572
—
WV
Enumeration date
07/09/2006
Last updated
12/21/2010
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