Individual provider · Type 1 NPI

Philip Thomas Kuball, MD

Student in an Organized Health Care Education/Training Program · Fargo, ND

NPI number 1447829155 Active

Practice location

1919 Elm St N
Fargo, ND 58102-2416

Call (701) 293-4113 Map

Fax (701) 293-4109

Mailing address

550 1st Ave
New York, NY 10016-6402

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1447829155

Philip Thomas Kuball, MD's National Provider Identifier is 1447829155, issued on Jun 18, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fargo, ND. The record was last updated on Jun 14, 2022.