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Individual
MR. PATRICK RAYMOND MCKIBBEN
Active
Individual
MR. PATRICK RAYMOND MCKIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.011095
OH
2251X0800X
Orthopedic Physical Therapist
PT.004781
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000502323
ANTHEM
OH
05
—
2750545
—
OH
Enumeration date
03/14/2006
Last updated
03/01/2010
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