Individual
JENNIFER LYNN KIBBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5040 FOREST DR, NEW ALBANY, OH 43054-8167
(614) 890-6555
(614) 891-1484
Mailing address
70 S CLEVELAND AVE, WESTERVILLE, OH 43081-1397
(614) 890-6555
(614) 823-8881
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
50.001845
OH
363AS0400X
Surgical Physician Assistant
Primary
50.001845
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023071388
NPI
OH
Enumeration date
04/08/2006
Last updated
10/28/2013
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