Rod Stephen Kubley in Plymouth - Family Medicine

Rod Stephen Kubley - NPI 1821037532

Rod Stephen Kubley is a Family Medicine in Plymouth, Indiana. Rod Stephen Kubley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Rod Stephen Kubley is 1821037532. The last update date is 2021-05-24.

Rod Stephen Kubley's current location address is 1919 Lake Ave, Plymouth, Indiana. You can contact this provider via phone number 5749412929 and fax number 5749413008. The mailing address for Rod Stephen Kubley is 1919 Lake Ave, Plymouth, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Rod Stephen Kubley
Address 1919 Lake Ave, Plymouth, Indiana
Phone Number 5749412929
Fax Number 5749413008
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1821037532
Provider Enumeration Date 2006-06-06
Last Updated Date 2021-05-24

Provider Mailing Address Detail

Address 1919 Lake Ave
City Plymouth
State Indiana (IN)
Post Code 465637830
Phone Number 5749412929
Fax Number 5749413008

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 1035442
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
21236800 IN FEDERAL BLACK LUNG PIN
100173750B IN --
216243 IN BCBS

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FAQs about Rod Stephen Kubley

What is the Rod Stephen Kubley's unique identification number?

The Rod Stephen Kubley has been assigned the NPI (National Provider Identifier) Number 1821037532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Rod Stephen Kubley?

The Rod Stephen Kubley is situated at 1919 Lake Ave, in the city of Plymouth, state of IN, with the zip code 465637830.

What is Rod Stephen Kubley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Rod Stephen Kubley is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did Rod Stephen Kubley receive its 1821037532 assignment from the Centers for Medicare & Medicaid Services?

The Rod Stephen Kubley was assigned its 1821037532 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Rod Stephen Kubley most recently updated or revised?

The details related to Rod Stephen Kubley, including its address, specialty, and other relevant information, were last updated or revised on 2021-05-24.

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