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Individual

MS. J SUZANNE MCKIBBEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CWON

Contact information

Practice address
6732 67TH WAY N, PINELLAS PARK, FL 33781-5049
(727) 248-9219
Mailing address
6732 67TH WAY N, PINELLAS PARK, FL 33781-5049
(727) 248-9219

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN9277872
FL
163WX1500X
Ostomy Care Registered Nurse
Primary
9277872
FL

Other

Enumeration date
10/24/2012
Last updated
10/27/2018
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