Individual
MR. DANIEL ROBERT KUBISIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH
Contact information
Practice address
CORNER OF SIDNEY AND LAMONT STREET, JAMES H. QUILLEN VAMC, JOHNSON CITY, TN 37604
(423) 926-1171
Mailing address
P.O. BOX 4000 JAMES H QULLEN VAMC, CORNER OF LAMONT AND SIDNEY, MOUNTAIN HOME, TN 37684-3412
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4523
TN
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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