Individual
DR. THOMAS B KIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM GENERAL MED, SAINT LOUIS, MO 63110-1003
(314) 747-3000
(314) 996-8436
Mailing address
660 S EUCLID AVE, CB 8121, SAINT LOUIS, MO 63110-1010
(314) 362-5060
(314) 996-8436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8H39
MO
208D00000X
General Practice Physician
Primary
R8H39
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200094635
—
MO
Enumeration date
08/25/2006
Last updated
02/14/2022
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