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Individual

KIMBERLY D KUBICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3851 PIPER ST, SUITE U340, ANCHORAGE, AK 99508
(907) 562-0321
(907) 562-2683
Mailing address
3851 PIPER ST, SUITE U340, ANCHORAGE, AK 99508
(907) 562-0321
(907) 562-2683

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
24934
AK
363L00000X
Nurse Practitioner
Primary
875
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124343678
BODYMINDSOUL INC - GROUP NPI
AK
Enumeration date
10/20/2006
Last updated
03/07/2023
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