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Contact Information

KRZYSZTOF J KUBICKI, MD
111 FIRST AVE
CHESTER, WV26034
 Phone: 304-387-2761
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KRZYSZTOF J KUBICKI, MD

NPI Number 1750314811
LBN Legal business name KRZYSZTOF J KUBICKI, MD
Authorized official KRZYSZTOF KUBICKI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2006
Last updated 12/21/2010 - About 15 years ago
Identifiers
WV License # 17474
WV Medicaid 3810006572
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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