Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 9302 | NV |
NPI | 1144416900 |
---|---|
Provider Name | Steven R Kubel |
First Address | Carson City, NV 89703-4287 |
Second Address | Carson City, NV 89703-4287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2007 |
Last Update Date | 15/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T11248 | (02) | NV |