IndividualActive
Brian Kubacak, MD
NPI 1629168299 · Child & Adolescent Psychiatry Physician · Little Rock, AR
Provider details
- NPI number
- 1629168299
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- E-2191 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone: (501) 686-8000
Approximate (ZIP-level) locationGet directions
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2011-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.