Provider Demographics
NPI:1134135106
Name:KUBIAK, KENDRA L (MD)
Entity Type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:L
Last Name:KUBIAK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3931 LOUISIANA AVENUE
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426
Mailing Address - Country:US
Mailing Address - Phone:952-993-3248
Mailing Address - Fax:952-993-2810
Practice Address - Street 1:3931 LOUISIANA AVENUE
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426
Practice Address - Country:US
Practice Address - Phone:952-993-3248
Practice Address - Fax:952-993-2810
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2012-04-12
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Provider Licenses
StateLicense IDTaxonomies
MN49552207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology