Individual provider · Type 1 NPI

Keith Matthew Bubb

Driver · Sandstone, MN

NPI number 1487418570 Active

Practice location

606 Highway 123 W
Sandstone, MN 55072-5060

Call (320) 204-5535 Map

Fax (320) 216-7638

Mailing address

PO Box 26
Sandstone, MN 55072-0026

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XN564173836715 (MN)

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

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About NPI 1487418570

Keith Matthew Bubb's National Provider Identifier is 1487418570, issued on Feb 8, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Sandstone, MN. The record was last updated on Feb 8, 2024.