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NPI Code Detail

MEDICARE: ANDREW KUBINSKI

MEDICARE: ANDREW KUBINSKI
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RS0010XSports Medicine (Internal Medicine) Physician201801514NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902223266
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW KUBINSKI
Provider Business Mailing Address
First Line : 1234 HUFFMAN MILL RD
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-8777
Country : US
Telephone Number : 336-538-1234
Fax Number :
Provider Business Practice Location Address
First Line : 1234 HUFFMAN MILL RD
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-8777
Country : US
Telephone Number : 336-538-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2014
Last Update Date : 01/29/2019

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