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Individual

WILLIAM BENJAMIN KIBLER

Active
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Individual

WILLIAM BENJAMIN KIBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18922
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
18922
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36000818
ASC MEDICAID GROUP#
KY
01
37903705
MEDICAID LAB GROUP#
KY
01
4000501
MEDICARE LAB GROUP#
KY
05
64189228
KY
01
ASC 1019
ASC MEDICARE GROUP#
KY
01
CB5773
RR MEDICARE GROUP
GA
Enumeration date
07/14/2006
Last updated
11/02/2007
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