Jerry Keith Kubena in Grand Junction - Psychiatry
Jerry Keith Kubena - NPI 1104023563
Jerry Keith Kubena is a Psychiatry in Grand Junction, Colorado. Jerry Keith Kubena practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jerry Keith Kubena is 1104023563. The last update date is 2017-10-24.
Jerry Keith Kubena's current location address is 515 28 3/4 Rd, Grand Junction, Colorado. You can contact this provider via phone number 9702634918. The mailing address for Jerry Keith Kubena is 515 28 3/4 Rd, Grand Junction, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Keith Kubena |
|---|---|
| Address | 515 28 3/4 Rd, Grand Junction, Colorado |
| Phone Number | 9702634918 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104023563 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2017-10-24 |
Provider Mailing Address Detail
| Address | 515 28 3/4 Rd |
|---|---|
| City | Grand Junction |
| State | Colorado (CO) |
| Post Code | 815015016 |
| Phone Number | 9702634918 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | DR.0057761 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identifier code assigned to Jerry Keith Kubena by the Centers for Medicare & Medicaid Services?
The Jerry Keith Kubena has been issued the NPI (National Provider Identifier) 1104023563 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jerry Keith Kubena is physically located?
The Jerry Keith Kubena is situated at the following address: 515 28 3/4 Rd, Grand Junction, CO 815015016.
What is Jerry Keith Kubena's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry Keith Kubena's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
When did the Jerry Keith Kubena receive its 1104023563?
The Jerry Keith Kubena was issued its 1104023563 on 2007-06-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jerry Keith Kubena most recently updated or revised?
The information pertaining to Jerry Keith Kubena, including its address, specialty, and other relevant details, was last updated or revised on 2017-10-24.
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