NPI 1053664177
Jacqueline Ann Kubis, SLPCFY
Practice location
- Address
- 3415 Sheridan Road, Kenosha, WI 53140-1995
- Phone
- (262) 653-2941
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1053664177
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Oct 2012
- Record last updated
- 26 Oct 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.