Individual
MRS. THERESA BURGESS KUBICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 ASHVILLE AVE, CARY, NC 27518-6130
(919) 859-1136
(919) 859-4240
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
101275
NC
363AM0700X
Medical Physician Assistant
Primary
0101275
NC
Other
Enumeration date
01/18/2007
Last updated
03/04/2021
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