Individual provider · Type 1 NPI

Kellye Marie Koubek, APRN

Gerontology Nurse Practitioner · Miami, FL

NPI number 1659080125 Active

Practice location

1400 NW 12th Ave
Miami, FL 33136-1003

Fax (305) 243-9161

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN110222802 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1659080125

Kellye Marie Koubek, APRN's National Provider Identifier is 1659080125, issued on Nov 23, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Miami, FL. The record was last updated on Nov 23, 2022.