Provider Demographics
NPI:1497381404
Name:KUBOVY INTEGRATIVE HEALTHCARE, P.A.
Entity Type:Organization
Organization Name:KUBOVY INTEGRATIVE HEALTHCARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUBOVY
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DABCI
Authorized Official - Phone:913-967-9217
Mailing Address - Street 1:15545 W 87TH STREET PKWY
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1434
Mailing Address - Country:US
Mailing Address - Phone:913-894-4428
Mailing Address - Fax:913-894-4427
Practice Address - Street 1:15545 W 87TH STREET PKWY
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1434
Practice Address - Country:US
Practice Address - Phone:913-894-4428
Practice Address - Fax:913-894-4427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-21
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty