Individual
BRIAN MICHAEL KIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
4646 JOHN R ST, 11G-AS, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1092
Mailing address
4646 JOHN R ST, 11G-AS, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1092
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000008
MI
Other
Enumeration date
02/23/2009
Last updated
06/13/2012
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