Individual
MR. JEFFERY SCOTT MCKIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
143 MERRIMON AVE, ASHEVILLE, NC 28801-1815
(828) 254-8889
(828) 254-8887
Mailing address
68 IVY LN, FLETCHER, NC 28732-9440
(828) 280-7114
(828) 254-8887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57143
BCBSNC
NC
05
—
7457143
—
NC
Enumeration date
08/18/2006
Last updated
07/08/2007
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