Amy Marie Kubal
NPI #1770736522 in Ellsworth Afb, South Dakota
Provider Information
- NPI Number
- 1770736522
- Entity Type
- Individual
- Name
- Amy Marie Kubal
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Oct 24, 2008
- Last Updated
- Feb 4, 2009
Practice Location
- Address
- 2450 RISNER DRIVE
- Address 2
- ELLSWORTH AIR FORCE BASE HEALTH AND WELLNESS CENTER
- City
- Ellsworth Afb
- State
- South Dakota
- ZIP Code
- 57706
- Phone
- (605) 385-2349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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