Individual
ANDREW KUBINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 HUFFMAN MILL RD, BURLINGTON, NC 27215-8777
(336) 538-1234
Mailing address
1234 HUFFMAN MILL RD, BURLINGTON, NC 27215-8777
(336) 538-1234
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
201801514
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902223266
—
NC
Enumeration date
03/25/2014
Last updated
01/29/2019
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