Individual
MARY KIBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
51 STATE RD, N DARTMOUTH, MA 02747-3319
(508) 997-1274
(508) 910-2209
Mailing address
51 STATE RD, N DARTMOUTH, MA 02747-3319
(508) 997-1274
(508) 910-2209
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
111224
MA
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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