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Organization

KIBBE ORTHOPEDICS PLLC

Active
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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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