Organization
DOCTOR K PRIVATE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW RUSSO KIBERT MD (FOUNDER/OWNER)
(713) 628-6126
Entity
Organization
Contact information
Practice address
426 W 14TH ST FL 3, NEW YORK, NY 10014-1002
(646) 568-6636
Mailing address
426 W 14TH ST FL 3, NEW YORK, NY 10014-1002
(646) 568-6636
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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