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Individual

KAREN SUSAN KIBBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUDIOLOGIST

Contact information

Practice address
6020 SAN JOSE BLVD W, JACKSONVILLE, FL 32217-2365
(904) 425-4393
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1665
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003108371A
GA
05
0035037-00
FL
Enumeration date
03/24/2011
Last updated
03/15/2017
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