Individual
MS. DOREEN JOY KIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2865 SIENA HEIGHTS DR, SUITE 331-A, HENDERSON, NV 89052-4167
(702) 407-0110
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1156
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750383360
—
NV
Enumeration date
01/29/2009
Last updated
10/25/2022
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