Individual
BRENDA KIBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2004 HIGHLAND AVE STE 2B, EAU CLAIRE, WI 54701-4389
(715) 317-5466
(866) 728-0304
Mailing address
PO BOX 473, RICE LAKE, WI 54868-0473
(715) 317-5466
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
68970
WI
Other
Enumeration date
03/27/2014
Last updated
04/11/2024
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