Individual
DR. JOSEPH F KIBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
14 DOCTORS CIR, SUITE 2, SUPPLY, NC 28462-4088
(910) 755-6512
(910) 755-6548
Mailing address
14 DOCTORS CIR, SUITE 2, SUPPLY, NC 28462-4088
(910) 755-6512
(910) 755-6548
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
452
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
452
NC
213ES0131X
Foot Surgery Podiatrist
452
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5199990001
MEDICARE DMERC PTAN
NC
05
—
890806X
—
NC
Enumeration date
02/09/2006
Last updated
03/30/2016
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