Provider Demographics
NPI:1598322299
Name:SZULBORSKI, KASIA
Entity Type:Individual
Prefix:DR
First Name:KASIA
Middle Name:
Last Name:SZULBORSKI
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 1:113 W POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28164-1528
Mailing Address - Country:US
Mailing Address - Phone:570-479-1291
Mailing Address - Fax:
Practice Address - Street 1:2 KENWOOD ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3135
Practice Address - Country:US
Practice Address - Phone:704-825-5322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2590152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist