Kubovec, Stacey Amber
Kubovec, Stacey Amber is an sole proprietor health care provider with primary practice located at 4444 E 41St St , Tulsa OK 74135-2527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Kubovec, Stacey Amber can be contacted via phone (918) 619-4400.Contact Information
Primary practice address
4444 E 41St St
Tulsa OK 74135-2527
Phone: (918) 619-4400
Fax: (918) 619-4960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 42481 | Oklahoma |
Profile Details
| NPI number | 1245762673 |
|---|---|
| LBN Legal business name | Kubovec, Stacey Amber |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2017 |
| Last updated | Mar 26th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245762673 | NPPES |
| Oklahoma | MEDICAID | 201220420A |
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