DR. MARSHALL KEN KUBOTA MD NPI 1245297969

NPI Information

DR. Marshall Ken Kubota, MD is a family medicine in Santa Rosa, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Marshall Ken Kubota, MD NPI is 1245297969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

495 TESCONI CIR
SANTA ROSA, CA
ZIP 95401-619
Phone: (707) 419-7904
Fax: (707) 545-2313

The enumeration date for this NPI number is 4/27/2006 and was last updated on 2/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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