Individual
DR. CHARLES ARTHUR KIBBEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14627
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
425731
BCBS
MD
01
—
4549679
AETNA
—
Enumeration date
07/19/2005
Last updated
05/12/2008
Update your record
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