NPI 1104023563

Jerry Keith Kubena, MD

Practitioner Psychiatry Physician Grand Junction, CO

Practice location

Address: 515 28 3/4 Rd, Grand Junction, CO 81501-5016
Phone: (970) 263-4918
Mailing address: PO Box 424, Bullhead City, AZ 86430-0424

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence A121373 (CA)

Other Psychiatry & Neurology providers in Colorado →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence DR.0057761 (CO)

Registry record

NPI: 1104023563
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2007
Record last updated: 24 Oct 2017

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.