AMY KUBAL
Dietitian, Registered
Active
Individual
NPI: 1770736522
Practice Address
2450 RISNER DRIVEELLSWORTH AIR FORCE BASE HEALTH AND WELLNESS CENTER
Ellsworth Afb, SD 57706
Phone: (605) 385-2349
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | 00915063 () |
Frequently Asked Questions
NPI 1770736522 is the National Provider Identifier for AMY KUBAL, a Dietitian, Registered provider located in Ellsworth Afb, SD. This NPI was enumerated on October 24, 2008.
AMY KUBAL practices at 2450 RISNER DRIVE, ELLSWORTH AIR FORCE BASE HEALTH AND WELLNESS CENTER, Ellsworth Afb, SD 57706.
Quick Facts
- NPI
- 1770736522
- Type
- Individual
- Enumerated
- Oct 24, 2008
- Last Updated
- Feb 4, 2009
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