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Individual

KEVELYN K IBEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1349 BROADWAY, BROOKLYN, NY 11221-6162
(718) 975-2270
Mailing address
14537 178TH PL, JAMAICA, NY 11434-5015
(646) 515-1989

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F341134
NY

Other

Enumeration date
05/16/2017
Last updated
05/16/2017
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