Provider Demographics
NPI:1508848540
Name:KUBIK, KARI MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:MARIE
Last Name:KUBIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:420 LOWELL DR SE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3754
Mailing Address - Country:US
Mailing Address - Phone:256-535-5940
Mailing Address - Fax:256-535-5954
Practice Address - Street 1:204 LOWE AVE SE
Practice Address - Street 2:STE 2
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4242
Practice Address - Country:US
Practice Address - Phone:256-517-8861
Practice Address - Fax:256-517-8872
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2016-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD29160207VG0400X, 207VF0040X
TXM1190207V00000X
GA057876207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH67147Medicare UPIN
TX8D7855Medicare ID - Type Unspecified