Provider Demographics
NPI:1659699502
Name:KUBOVY, KATHERINE M (DC, DABCI)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:M
Last Name:KUBOVY
Suffix:
Gender:F
Credentials:DC, DABCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17795 W 106TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-3155
Mailing Address - Country:US
Mailing Address - Phone:913-359-3880
Mailing Address - Fax:913-894-4427
Practice Address - Street 1:17795 W 106TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3155
Practice Address - Country:US
Practice Address - Phone:913-359-3880
Practice Address - Fax:833-290-5703
Is Sole Proprietor?:No
Enumeration Date:2010-05-16
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05347111N00000X, 111NI0900X
NE1616111N00000X, 111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
No111N00000XChiropractic ProvidersChiropractor