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Individual

MELINA KIBBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-3728
(434) 243-1000
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101273920
VA
2086S0129X
Vascular Surgery Physician
036-107370
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036107370
IL
05
200458380A
IN
Enumeration date
10/06/2006
Last updated
04/28/2023
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