Individual
JESSIE LEE KIBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2432 E MAIN ST, JACKSON, MO 63755-2664
(573) 755-2305
(800) 800-5123
Mailing address
2432 E MAIN ST, JACKSON, MO 63755-2664
(573) 755-2305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
04/30/2024
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