Provider Demographics
NPI:1508454406
Name:KUBI, YVONNE
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:
Last Name:KUBI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8817 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20763-9691
Mailing Address - Country:US
Mailing Address - Phone:301-356-7034
Mailing Address - Fax:
Practice Address - Street 1:8817 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MD
Practice Address - Zip Code:20763-9691
Practice Address - Country:US
Practice Address - Phone:301-356-7034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider