Individual
KELLY M KUBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
784 MEDINA RD STE 107, MEDINA, OH 44256-9634
(330) 591-9635
(330) 591-4150
Mailing address
365 RIFFEL RD STE A, WOOSTER, OH 44691-8592
(440) 856-5958
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003911
OH
Other
Enumeration date
04/10/2017
Last updated
11/23/2021
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