Individual provider · Type 1 NPI

Theresa Burgess Kubicki, PA-C

Medical Physician Assistant · Cary, NC

NPI number 1801949474 Active

Practice location

222 Ashville Ave
Cary, NC 27518-6130

Fax (919) 859-4240

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X101275 (NC)
Medical Physician Assistant Primary 363AM0700X0101275 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1801949474

Theresa Burgess Kubicki, PA-C's National Provider Identifier is 1801949474, issued on Jan 18, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cary, NC. The record was last updated on Mar 4, 2021.