Individual
MR. BENJAMIN ROBERT KIBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1050 W LA JOLLA DR, TEMPE, AZ 85282-4613
(330) 327-1633
Mailing address
1050 W. LA JOLLA DR., TEMPE, AZ 85282-4613
(330) 327-1633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN152227
AZ
164W00000X
Licensed Practical Nurse
PN105012
OH
Other
Enumeration date
06/15/2007
Last updated
07/24/2008
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