Organization
KIBBE ORTHOPEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE KIBBE MD (OWNER)
(502) 834-5676
Entity
Organization
Contact information
Practice address
809 MORTON AVE STE 100, BARDSTOWN, KY 40004-2565
(502) 834-5676
(833) 700-1693
Mailing address
PO BOX 33149, BELFAST, ME 04915-0609
(888) 488-8289
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100843930
—
KY
Enumeration date
06/03/2022
Last updated
01/20/2026
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