Individual
HOLLY JASON KIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 W BROAD ST, SUITE 2200, RICHMOND, VA 23284-9089
(804) 828-7320
Mailing address
4626 HALLEYS CIR, GLEN ALLEN, VA 23060-3551
(804) 217-8043
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101238400
VA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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