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NPI Code Detail

MEDICARE: MRS. KAYLA MCGUIRE STUBER

MEDICARE: MRS. KAYLA MCGUIRE STUBER
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 ProgramNC

General Provider Information

NPI Number : 1780513242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAYLA MCGUIRE STUBER
Provider Business Mailing Address
First Line : 140 BOONE TRL
Second Line :
City : GARNER
State : NC
Zip : 27529-7026
Country : US
Telephone Number : 919-350-8000
Fax Number :
Provider Business Practice Location Address
First Line : 3000 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1295
Country : US
Telephone Number : 919-350-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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