KATHLEEN KUBACKI
NPI 1073164935
Licensed Practical Nurse in Wyoming, MI

Active since September 23, 2019
1853 R W BERENDS DR SW, WYOMING, MI 49519(616) 534-9300 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Kubacki NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN KUBACKI (NPI 1073164935) is an individual licensed practical nurse in Wyoming, Michigan, licensed in Michigan (4703116155) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1073164935
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKATHLEEN KUBACKI
Location Address1853 R W BERENDS DR SWWyoming, MI 49519-4955
Mailing Address3583 Kiel StHudsonville, MI 49426-1307
Sole ProprietorNo
Enumeration DateSeptember 23, 2019
NPI 1073164935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MI · 4703116155
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1853 R W BERENDS DR SW, Wyoming, MI 49519

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Home Health)
1853 R W BERENDS DR SW
WYOMING, MI 49519
Registered Nurse
1853 R W BERENDS DR SW
WYOMING, MI 49519
Registered Nurse
1853 R W BERENDS DR SW
WYOMING, MI 49519
Licensed Practical Nurse
1853 R W BERENDS DR SW
WYOMING, MI 49519
Registered Nurse (Home Health)
1853 R W BERENDS DR SW
WYOMING, MI 49519
Nurse Practitioner (Pediatrics)
1853 R W BERENDS DR SW
WYOMING, MI 49519
Registered Nurse
1853 R W BERENDS DR SW
WYOMING, MI 49519
Registered Nurse (Home Health)
1853 R W BERENDS DR SW
WYOMING, MI 49519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Kubacki's NPI number?

The NPI number for Kathleen Kubacki is 1073164935. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Kathleen Kubacki located?

Kathleen Kubacki practices at 1853 R W Berends Dr SW, Wyoming, MI 49519. The listed phone number is (616) 534-9300.

What is Kathleen Kubacki's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Kubacki was last updated on September 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.