Individual provider · Type 1 NPI

Kathleen Kubacki

Licensed Practical Nurse · Wyoming, MI

NPI number 1073164935 Active

Practice location

1853 R W Berends Dr SW
Wyoming, MI 49519-4955

Call (616) 534-9300 Map

Mailing address

3583 Kiel St
Hudsonville, MI 49426-1307

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703116155 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1073164935

Kathleen Kubacki's National Provider Identifier is 1073164935, issued on Sep 23, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wyoming, MI. The record was last updated on Sep 23, 2019.