Individual
RICHARD GLENN KIBBEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 MEDI PARK DR, AMARILLO, TX 79106-2104
(806) 355-9447
(806) 356-9251
Mailing address
PO BOX 51800, AMARILLO, TX 79159-1800
(806) 355-9447
(806) 356-9251
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D7611
TX
Other
Enumeration date
11/02/2005
Last updated
11/02/2007
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