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DR. BRENDA A. KUBE M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1386660355
Individual Registrant:DR. BRENDA A. KUBE M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
911 S CHESTNUT ST LE ROY, IL 61752-1894 US
Tel: 309-962-2081 Fax: 309-962-9021
Tel: 309-962-2081 Fax: 309-962-9021
Contact information for business:
PO BOX 2451 BLOOMINGTON, IL 61702-2451 US
Tel: 309-268-2172 Fax: 309-268-3649
Tel: 309-268-2172 Fax: 309-268-3649
Registration Information:
NPI: 1386660355
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | IL |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 5315769 | 01 |
