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General NPI Number Information
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NPI Number | 1275574527
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Entity Type | Individual
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Provider Name | CHRISTOPHER T. KUEBRICH MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 724 MEDICAL CENTER DR E STE 106
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City | CLOVIS
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State | CA
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Zip | 93611-6811
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Country | US
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Telephone | 559-387-2090
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Fax | 559-387-2099
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Provider Business Mailing Address
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Address Line | 670 MASON RIDGE CENTER DR STE. 300
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8573
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Country | US
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Telephone | 314-996-7644
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Fax | 314-996-7658
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C54664
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036116096
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License Number State | IL
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