Individual
KATIE MARIE KUBOUSHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
0487
KY
231H00000X
Audiologist
Primary
1601000551
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0487
KY STATE LICENSE
KY
01
—
12138438
CERTIFICATION NUMBER
—
Enumeration date
09/17/2008
Last updated
10/30/2025
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