Individual
PHILLIP M KIBORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
347 NORTH SMITH AVENUE, MAIL STOP 70 501 CHILDRENS HOSPITALS AND CLINICS OF MIN, ST PAUL, MN 55102
(651) 220-6165
(651) 220-5147
Mailing address
2910 CENTRE POINTE DRIVE, 35 121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25027
MN
2080P0206X
Pediatric Gastroenterology Physician
25027
MN
Other
Enumeration date
08/17/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us