| NPI | 1538576491 |
|---|---|
| Professional Name | VERNON ROBERT KUBIAK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 54586) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: ID CNS-74A) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2017-03-17 |