Individual
JUSTIN RYAN MCKIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 ARBOR DR, SOUTH SIOUX CITY, NE 68776-2421
(402) 494-3337
Mailing address
PO BOX 355, SOUTH SIOUX CITY, NE 68776-0355
(402) 494-3337
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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