Healthcare Provider Details

I. General information

NPI: 1386556876
Provider Name (Legal Business Name): KRISTINA DUBSKY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20025 LUNN RD
STRONGSVILLE OH
44149-4925
US

IV. Provider business mailing address

14413 CASTLEREAGH LN
STRONGSVILLE OH
44136-6720
US

V. Phone/Fax

Practice location:
  • Phone: 440-572-7100
  • Fax:
Mailing address:
  • Phone: 440-572-7069
  • Fax: 440-846-3226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number273171
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: