Individual
DEVLIN KIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6139 GIOFFRE WOODS LN, COLUMBUS, OH 43232-6477
(614) 432-6085
Mailing address
PO BOX 1628, REYNOLDSBURG, OH 43068-6628
(614) 636-9299
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305S00000X
Point of Service
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
Primary
2542314
OH
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2823654
—
OH
Enumeration date
09/24/2020
Last updated
09/28/2021
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