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

Kathleen Kubacki

Individual provider Licensed Practical Nurse · NPI 1073164935

Kathleen Kubacki is a Licensed Practical Nurse in Wyoming, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

1853 R W Berends Dr SW
Wyoming, MI 49519-4955
Phone: (616) 534-9300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703116155 (MI)

Record details

NPI number1073164935
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2019
Last updated in NPPESSeptember 23, 2019
Mailing address3583 Kiel St, Hudsonville, MI 49426-1307

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