Brian Kubacak in Little Rock - Child & Adolescent Psychiatry
Brian Kubacak - NPI 1629168299
Brian Kubacak is a Child & Adolescent Psychiatry in Little Rock, Arkansas. Brian Kubacak practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Brian Kubacak is 1629168299. The last update date is 2011-11-30.
Brian Kubacak's current location address is 4301 W Markham St # 783, Little Rock, Arkansas. You can contact this provider via phone number 5016868000. The mailing address for Brian Kubacak is 4301 W Markham St # 783, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Kubacak |
|---|---|
| Address | 4301 W Markham St # 783, Little Rock, Arkansas |
| Phone Number | 5016868000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629168299 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2011-11-30 |
Provider Mailing Address Detail
| Address | 4301 W Markham St # 783 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722057101 |
| Phone Number | 5016868000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | E-2191 |
|
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 145138001 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Brian Kubacak by the Centers for Medicare & Medicaid Services?
The Brian Kubacak has been issued the NPI (National Provider Identifier) 1629168299. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brian Kubacak's facilities are situated?
The facilities of Brian Kubacak are physically located at the following address: 4301 W Markham St # 783, Little Rock, AR, 722057101.
What is the Brian Kubacak's area of specialization and corresponding taxonomy classification?
The Brian Kubacak's specialty field is Child & Adolescent Psychiatry, and it falls under the taxonomy code 2084P0804X, which categorizes healthcare providers based on their specialties.
On what date did the Brian Kubacak receive its 1629168299 assignment from the Centers for Medicare & Medicaid Services?
The Brian Kubacak was assigned its 1629168299 by the Centers for Medicare & Medicaid Services on 2006-10-13.
When was the information regarding Brian Kubacak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brian Kubacak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-30.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA