Individual
PETER KIBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3461 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5260
(216) 491-9200
(216) 991-5638
Mailing address
3461 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5260
(216) 491-9200
(216) 991-5638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.044403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0729877
—
OH
Enumeration date
07/11/2005
Last updated
07/08/2007
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