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Kalin Kubiak

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

221 Michigan St NE Ste 200, Grand Rapids, MI 49503-2533

PECOS Enrollment

Based on the most recent information from CMS, provider Kalin Kubiak is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1821684424
Provider Type
Individual
Full Name
Kubiak, Kalin
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
12/17/2020
Last Updated
4/7/2023

Contact Information

Practice Location

221 Michigan St NE Ste 200, Grand Rapids, MI 49503-2533

(616) 267-8950

Unlisted Fax

Mailing Location

100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601010997 Michigan

Kalin Kubiak

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kung, Tonya Lynn

Rauch, Matthew Robert

Salk, Hannah Gabrielle

Vandenberg, Jennifer Renee

Quinnan, Anna Noelle

Baker, Sarah Catherine

Charles, Kara E

Brechting, Sara Mary

Kuiper, Benjamin Daniel

Hartman, Kate