Individual
MRS. KATE E BUBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3011
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
221056
GA
Other
Enumeration date
10/15/2013
Last updated
11/05/2021
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