Individual
KELLY ROCHELLE HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4171 WESTPORT RD, LOUISVILLE, KY 40207-2739
(502) 896-8868
Mailing address
4171 WESTPORT RD, LOUISVILLE, KY 40207-2739
(502) 896-8868
(028) 956-2785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009820
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201335080
—
IN
05
—
7100372730
—
KY
Enumeration date
10/22/2015
Last updated
04/26/2024
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