Individual
DR. KATHLEEN MARGARET TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
925 CHESTNUT ST FL 6, PHILADELPHIA, PA 19107-4204
(215) 955-6056
(215) 923-4532
Mailing address
925 CHESTNUT ST FL 6, PHILADELPHIA, PA 19107-4204
(215) 955-6056
(215) 923-4532
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD480053
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346982701
—
TX
Enumeration date
04/16/2010
Last updated
03/22/2023
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