Individual
MRS. KAYLA K MCKIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
482 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 333-8474
Mailing address
604 W SACAJAWEA CT, ELLETTSVILLE, IN 47429-1979
(219) 863-6532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001748A
IN
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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