Individual
CHILLON A MCKIBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 763-2707
(320) 759-4395
Mailing address
610 30TH AVENUE WEST, ALEXANDRIA CLINIC, ALEXANDRIA, MN 56308
(320) 763-5123
(320) 763-7883
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
R1567047
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153329
AMCB MIDWIFE
MN
01
—
1255521548
NPI
MN
05
—
638128000
—
MN
01
—
P00473736
RR MEDICARE
MN
01
—
R 156704 7
MN BOARD OF NRSG
MN
Enumeration date
08/01/2007
Last updated
10/15/2025
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