MEDICARE: JONATHAN THOMAS KUBICKA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion	H13337001	NE

General Provider Information

NPI Number	:	1588506133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN THOMAS KUBICKA

Provider Business Mailing Address
First Line	:	648 MEMORIAL DR
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-7856
Country	:	US
Telephone Number	:	402-519-8725
Fax Number	:

Provider Business Practice Location Address
First Line	:	648 MEMORIAL DR
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-7856
Country	:	US
Telephone Number	:	402-519-8725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ JONATHAN THOMAS KUBICKA ” Practice Location

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