NPI 1285093104

Kyle Justin Dubose, DO

Practitioner Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Kenosha, WI

Practice location

Address: 10400 75th St, Kenosha, WI 53142-7884
Phone: (262) 942-5600
Fax: (262) 948-7388
Mailing address: 2901 W Kinnickinnic River Pkwy STE 309, Milwaukee, WI 53215-3660

Registered specialties

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0011X Licence 67393 (WI)

Other Preventive Medicine providers in Wisconsin →

Registry record

NPI: 1285093104
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2016
Record last updated: 5 Sep 2023

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.