Doctor Name: | MS. KELLI LOUISE DUBINSKY |
NPI Number: | 1609069822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 5-27292 |
Business Practice Address: | 30227 Us Highway 136 Maryville, MO - 644688353 |
Business Phone Number: | 6605826542 |
Business Fax Number: | 6605824597 |
Mailing Address: | 4700 W. 65th Terrace, PRAIRIE VILLIAGE |
State: | KS |
Postal Code: | 66208 |
Phone Number: | 9134320044 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 08/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5-27292 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |