Kathleen Kubacki, - Licensed Practical Nurse in Wyoming, MI

Kathleen Kubacki, is a Licensed Practical Nurse based in Wyoming, Michigan. Kathleen Kubacki is licensed to practice in Michigan (license number 4703116155) and her current practice location is 1853 R W Berends Dr Sw, Wyoming, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 534-9300.

NPI number for Kathleen Kubacki is 1073164935 and her current mailing address is 3583 Kiel St, Hudsonville, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073164935.

Contact Information

Kathleen Kubacki,
1853 R W Berends Dr Sw,
Wyoming, MI 49519-4955
(616) 534-9300
Not Available



Provider's Profile

Full NameKathleen Kubacki
GenderFemale
SpecialityLicensed Practical Nurse
Location1853 R W Berends Dr Sw, Wyoming, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073164935
  • Provider Enumeration Date: 09/23/2019
  • Last Update Date: 09/23/2019

Medical Identifiers

Medical identifiers for Kathleen Kubacki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073164935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 4703116155 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Kubacki is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Kubacki,
3583 Kiel St,
Hudsonville, MI 49426-1307

Ph: () -
Kathleen Kubacki,
1853 R W Berends Dr Sw,
Wyoming, MI 49519-4955

Ph: (616) 534-9300

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› Verified 7 days ago


Licensed Practical Nurse Nurses in Wyoming, MI

Margaret Stewart,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 145 Murray St Sw, Wyoming, MI 49548
Phone: 616-264-4152    
Barnabus Corder,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1853 R W Berends Dr Sw, Wyoming, MI 49519
Phone: 616-534-9300    
Jillian Berzley,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2724 Edmonton St Sw, Wyoming, MI 49519
Phone: 616-204-5272    
Lun Mang, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1853 R W Berends Dr Sw, Wyoming, MI 49519
Phone: 616-534-9300    
Tatyana S Chatman,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1853 R W Berends Dr Sw, Wyoming, MI 49519
Phone: 616-534-9300    
Lisa Frede,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1853 R W Berends Dr Sw, Wyoming, MI 49519
Phone: 616-534-9300    

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