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Contact Information

KELLY KUBISEN, RN, ACCNS-N, RNC-NIC
690 GOOD DR
LANCASTER, PA17601-2433
 Phone: 717-544-3475
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal Intensive Care

163WN0002X
 

Neonatal

364SN0000X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for KELLY KUBISEN · (Female)

NPI # 1225700560
Status Active
Credentials RN, ACCNS-N, RNC-NIC
Entity Individual
Enumeration date 10/05/2021
Last updated 09/18/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • PA License # CNS000370
  • PA License # RN659483
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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