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MICHAEL LEE KUBITZ M.D. NPI 1346231818


NPI Information

NPI: 1346231818
Provider Name: MICHAEL LEE KUBITZ, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
784 14TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 425-6111
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Michael Lee Kubitz, M.D. is an adolescent medicine pediatrics in Longview, WA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Michael Lee Kubitz, M.D. NPI is 1346231818. 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:

784 14TH AVE
LONGVIEW, WA
ZIP 98632-315
Phone: (360) 425-6111
Fax: (360) 636-1297

The enumeration date for this NPI number is 11/2/2005 and was last updated on 7/9/2007.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineMD00032648WASHINGTONYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AB15236MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
2129610OTHERWASHINGTONWA LABOR & INDUSTRIES
3D94312MEDICARE UPINWASHINGTON
4074773MEDICAIDOREGON
58173031MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.