Individual provider · Type 1 NPI
Cullen Burgess Kubicki, APRN
Gerontology Nurse Practitioner · West Columbia, SC
NPI number
1609499623
Active
Practice location
1053 Center Street, Sc House Calls Inc
West Columbia, SC 29169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 23889 (SC) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1609499623
Cullen Burgess Kubicki, APRN's National Provider Identifier is 1609499623, issued on May 26, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in West Columbia, SC. The record was last updated on Oct 21, 2020.