Individual provider · Type 1 NPI

Kelly Kujabie

Driver · Tyler, TX

NPI number 1174078216 Active

Practice location

3644 County Road 1303
Tyler, TX 75704-5821

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X23814443 (TX)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1174078216

Kelly Kujabie's National Provider Identifier is 1174078216, issued on Aug 18, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Tyler, TX. The record was last updated on Aug 18, 2016.