Individual
DR. BRIAN THOMAS MCKIBBEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 MAY ST, JACKSONVILLE, FL 32204-4007
(904) 353-5921
Mailing address
1515 MAY ST, JACKSONVILLE, FL 32204-4007
(904) 353-5921
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
40936
FL
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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