Healthcare Provider Details

I. General information

NPI: 1629214234
Provider Name (Legal Business Name): KAREN H. KUBITZ H.I.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2009
Last Update Date: 01/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5528 HOBART ST
PITTSBURGH PA
15217-1923
US

IV. Provider business mailing address

5528 HOBART ST
PITTSBURGH PA
15217-1923
US

V. Phone/Fax

Practice location:
  • Phone: 412-422-5636
  • Fax: 412-422-5636
Mailing address:
  • Phone: 412-422-5636
  • Fax: 412-422-5636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberF02687
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: