Individual provider · Type 1 NPI

Kim Marie Kubal

Student in an Organized Health Care Education/Training Program · San Mateo, CA

NPI number 1225554538 Active

Practice location

2600 S El Camino Real Ste 200
San Mateo, CA 94403-2382

Call (650) 372-4080 Map

Mailing address

1275 El Camino Real Apt 106
Millbrae, CA 94030-1405

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X27396 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225554538

Kim Marie Kubal's National Provider Identifier is 1225554538, issued on Aug 17, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Mateo, CA. The record was last updated on Sep 26, 2017.