Kubo, Karl Christopher

Kubo, Karl Christopher is an individual health care provider with primary practice located at 615 S Division St , Moses Lake WA 98837-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kubo, Karl Christopher can be contacted via phone (509) 766-9450.

Contact Information

Primary practice address
615 S Division St Moses Lake WA 98837-3800
Fax: (509) 766-1954
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00026434 Washington

Profile Details

NPI number 1174529226
LBN Legal business name Kubo, Karl Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174529226 NPPES
Washington MEDICAID 1091719

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