Individual
DR. THOMAS EDWARD KIBELSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10350 E DREXEL RD UNIT 110, TUCSON, AZ 85747-9409
(520) 324-1727
(520) 324-1700
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55189
AZ
207Q00000X
Family Medicine Physician
MD.13795R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526856
—
AZ
Enumeration date
02/22/2007
Last updated
09/13/2021
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