Kenneth Kubicek, PHD, LCPC - Psychologist in Maryville, IL

Kenneth Kubicek, PHD, LCPC is a Psychologist based in Maryville, Illinois. Kenneth Kubicek is licensed to practice in Illinois (license number 180.002041) and his current practice location is 3 Oak Dr Ste B, Maryville, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 972-1568.

NPI number for Kenneth Kubicek is 1063290773 and his current mailing address is 3 Oak Dr Ste B, Maryville, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063290773.

Contact Information

Kenneth Kubicek, PHD, LCPC
3 Oak Dr Ste B,
Maryville, IL 62062-5635
(618) 972-1568
(618) 205-3561

Map and Direction




Healthcare Provider's Profile

Full NameKenneth Kubicek
GenderMale
SpecialityPsychologist
Location3 Oak Dr Ste B, Maryville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063290773
  • Provider Enumeration Date: 09/15/2023
  • Last Update Date: 09/15/2023

Medical Identifiers

Medical identifiers for Kenneth Kubicek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063290773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 180.002041 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Kubicek is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Kubicek, PHD, LCPC
3 Oak Dr Ste B,
Maryville, IL 62062-5635

Ph: (618) 972-1568
Kenneth Kubicek, PHD, LCPC
3 Oak Dr Ste B,
Maryville, IL 62062-5635

Ph: (618) 972-1568

Reviews and Comments


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