Individual
ALLEN R KUBKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2021 SANTA MONICA BLVD STE 424E, SANTA MONICA, CA 90404-2151
(310) 590-7020
(310) 310-2724
Mailing address
2021 SANTA MONICA BLVD STE 424E, SANTA MONICA, CA 90404-2151
(310) 590-7020
(310) 310-2724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95032650
CA
Other
Enumeration date
10/16/2025
Last updated
10/24/2025
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