Individual
KIBBS FORTILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
80 COMMERCIAL ST, HOLYOKE, MA 01040-4704
(413) 846-0446
(413) 846-0447
Mailing address
80 COMMERCIAL ST, HOLYOKE, MA 01040-4704
(413) 846-0446
(413) 846-0447
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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