Individual
VICTOR KIEBALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
940 NE 13TH ST., GARRISON TOWER, SUITE 3G 3210, OKLAHOMA CITY, OK 73104-5008
(405) 271-8001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
38205
OK
2085R0202X
Diagnostic Radiology Physician
Primary
ME173325
FL
Other
Enumeration date
06/30/2020
Last updated
04/17/2025
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