Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | M1190 | TX |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD29160 | AL |
N | 207VG0400X | Gynecologist | 057876 | GA |
N | 207VG0400X | Gynecologist | MD29160 | AL |
NPI | 1508848540 |
---|---|
Provider Name | Dr. Kari Marie Kubik |
First Address | Huntsville, AL 35801-3754 |
Second Address | Huntsville, AL 35801-4242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 16/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H67147 | (02) | TX |