Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kieran Fredrick Kubac, MD

Individual provider Internal Medicine Physician · NPI 1114487741

Dr. Kieran Fredrick Kubac, MD is an Internal Medicine in Klamath Falls, Oregon. Qualified in 2019, 7 years ago. Practices with Sky Lakes Medical Center Inc, a 197-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone: (541) 274-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD209470 (OR)

Record details

NPI number1114487741
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESMarch 21, 2024
Certification dateMarch 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sky Lakes Medical Center Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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