Individual
MR. PAUL CRAIG KIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1997 BATESVILLE BLVD, SOUTHSIDE, AR 72501-7896
(870) 376-1216
(870) 376-1225
Mailing address
1997 BATESVILLE BLVD, SOUTHSIDE, AR 72501-7896
(870) 376-1216
(870) 376-1225
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
223792
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R101034
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304081758
—
AR
Enumeration date
04/03/2023
Last updated
03/10/2026
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