| Dr Kieran Fredrick Kubac, MD | |
| 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | |
| (541) 274-6150 | |
| Not Available | 
| Full Name | Dr Kieran Fredrick Kubac | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 2865 Daggett Ave, Klamath Falls, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114487741 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | MD209470 (Oregon) | Primary | 
| Entity Name | Sky Lakes Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kieran Fredrick Kubac, MD 2865 Daggett Ave, Klamath Falls, OR 97601-1106 Ph: (541) 882-6311 | Dr Kieran Fredrick Kubac, MD 2865 Daggett Ave, Klamath Falls, OR 97601-1106 Ph: (541) 274-6150 | 
| Dr. Charles Keith Cofas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2640 Biehn St Ste 4, Klamath Falls, OR 97601 Phone: 541-882-3818 Fax: 541-882-9800 | |
| George Kubac, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Daggett Ave Ste 101, Klamath Falls, OR 97601 Phone: 541-884-6233 Fax: 541-880-2840 | |
| Dr. Deepika Wali, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2610 Uhrmann Rd, Klamath Falls, OR 97601 Phone: 541-274-4171 | |
| Rastislav Kucinsky, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Daggett Ave Ste 101, Klamath Falls, OR 97601 Phone: 541-884-6233 Fax: 541-880-2840 | |
| Dr. Faisal B Saiful, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2614 Clover Street, Klamath Falls, OR 97601 Phone: 541-884-6233 Fax: 541-880-2840 | |
| Jennifer Renee Wise, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2821 Daggett Ave Ste 200, Klamath Falls, OR 97601 Phone: 541-274-8400 Fax: 541-274-8405 |