Individual
GRACE KIBUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
225 EVERGREEN RD, POTTSTOWN, PA 19464-3143
(610) 323-1800
Mailing address
108 ABERDARE LN, EXTON, PA 19341-1901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LG-0012320
DE
363L00000X
Nurse Practitioner
Primary
SP016996
PA
Other
Enumeration date
12/11/2016
Last updated
05/15/2026
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