Individual provider · Type 1 NPI
Todd Michael Kubon, BA, MAMS, CCA
Anaplastologist · Riverside, IL
Practice location
317 Nuttall Rd
Riverside, IL 60546-1804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anaplastologist Primary | 229N00000X | None listed |
Anaplastologist: An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical…
About NPI 1164804142
Todd Michael Kubon, BA, MAMS, CCA's National Provider Identifier is 1164804142, issued on Jun 25, 2015. The primary taxonomy on file is Anaplastologist (229N00000X), and the practice location is in Riverside, IL. The record was last updated on Jun 25, 2015.