National Provider Identifier
Fred Kubus, PA
Fred Kubus, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 886-5493.
Profile Overview
- NPI
- 1730572140
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 09, 2015
- Last Updated
- April 08, 2021
Practice Location
- 5904 Sheridan Dr
- Williamsville, NY 14221-5873
Phone: (716) 886-5493
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1730572140
- Entity Type
- Individual
- Last Name
- Kubus
- First Name
- Fred
- Credential
- PA
- Mailing Street Address
- 5904 Sheridan Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5873
- Mailing Country
- US
- Mailing Phone
- (716) 886-5493
- Mailing Fax
- (716) 886-5835
- Practice Street Address
- 5904 Sheridan Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5873
- Practice Country
- US
- Practice Phone
- (716) 886-5493
- Practice Fax
- (716) 886-5835
- Enumeration Date
- March 09, 2015
- Last Updated
- April 08, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 08, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 1730572140 (NV)