Individual
LARRY E KIBLER
Active
Individual
LARRY E KIBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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