Individual
LARRY E KIBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1083 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2248
(864) 583-8647
(864) 542-2227
Mailing address
1083 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2248
(864) 583-8647
(864) 542-2227
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
7082
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070826
—
SC
01
—
26393
MEDCOST PIN
—
01
—
4314886
AETNA PIN
—
05
—
890662F
—
NC
Enumeration date
05/16/2006
Last updated
08/27/2008
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