Marshall Ken Kubota in Santa Rosa - Family Medicine

Marshall Ken Kubota - NPI 1245297969

Marshall Ken Kubota is a Family Medicine in Santa Rosa, California. Marshall Ken Kubota practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Marshall Ken Kubota is 1245297969. The last update date is 2012-02-06.

Marshall Ken Kubota's current location address is 495 Tesconi Cir, Santa Rosa, California. You can contact this provider via phone number 7074197904 and fax number 7075452313. The mailing address for Marshall Ken Kubota is 495 Tesconi Cir, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Marshall Ken Kubota
Address 495 Tesconi Cir, Santa Rosa, California
Phone Number 7074197904
Fax Number 7075452313
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1245297969
Provider Enumeration Date 2006-04-27
Last Updated Date 2012-02-06

Provider Mailing Address Detail

Address 495 Tesconi Cir
City Santa Rosa
State California (CA)
Post Code 954014619
Phone Number 7074197904
Fax Number 7075452313

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No G43681
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G436810 CA --

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FAQs about Marshall Ken Kubota

What is the unique identification code assigned to Marshall Ken Kubota by the Centers for Medicare & Medicaid Services?

The Marshall Ken Kubota has been issued the NPI (National Provider Identifier) 1245297969. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Marshall Ken Kubota located?

The Marshall Ken Kubota is located at 495 Tesconi Cir, Santa Rosa, CA 954014619.

What is Marshall Ken Kubota's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Marshall Ken Kubota is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

When was the Marshall Ken Kubota's 1245297969 issued?

The Marshall Ken Kubota's 1245297969 was issued on 2006-04-27.

As of what date were the details pertaining to Marshall Ken Kubota last refreshed?

The information related to the Marshall Ken Kubota, including its address, specialty, and other relevant details, was last updated on 2012-02-06.

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