Individual
WILLIAM K MCKIBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 PAUL W BRYANT DR E, TUSCALOOSA, AL 35401-2055
(205) 345-0192
(205) 464-4507
Mailing address
PO BOX 2447, TUSCALOOSA, AL 35403-2447
(205) 345-0192
(205) 464-4507
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35433
AL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
35433
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1130W
BCBS
NC
05
—
891130W
—
NC
Enumeration date
05/31/2006
Last updated
09/29/2016
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