Individual
DR. CHARLES ARTHUR KIBBEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T
Contact information
Practice address
5480 WISCONSIN AVE, STE B-1, CHEVY CHASE, MD 20815-3530
(301) 654-7383
(301) 654-7897
Mailing address
5480 WISCONSIN AVE, STE B-1, CHEVY CHASE, MD 20815-3530
(301) 654-7383
(301) 654-7897
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
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