Individual
KAREN HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP MS
Contact information
Practice address
3086 W MILANO DR, MERIDIAN, ID 83646-7288
(208) 996-0552
Mailing address
5931 N PEPPARD AVE, MERIDIAN, ID 83646-4204
(208) 866-5976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558657866
—
ID
01
—
8Q308
BLUE CROSS OF IDAHO
ID
Enumeration date
06/24/2011
Last updated
04/07/2022
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