Individual
KEVIN BIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
422 23RD STREET, HIDDEN VALLEY CENTER, OAKHILL, WV 25901
(304) 465-1903
Mailing address
139 RICHARDS ST, OAK HILL, WV 25901-2153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
481
WV
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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