Individual
DR. CHERYL A KUBISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 NE IRELAND, OAK HARBOR, WA 98277
(360) 675-7678
(360) 279-0614
Mailing address
830 NE IRELAND, OAK HARBOR, WA 98277
(360) 675-7678
(360) 279-0614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00030606
WA
207R00000X
Internal Medicine Physician
Primary
26471
MT
207R00000X
Internal Medicine Physician
M-12093
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108687
—
WA
Enumeration date
07/18/2006
Last updated
04/28/2026
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