Individual
DEPHANY BIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 WHITTINGTON PKWY, SUITE 100, LOUISVILLE, KY 40222-4930
(502) 327-9100
(502) 742-3767
Mailing address
140 WHITTINGTON PKWY, SUITE 100, LOUISVILLE, KY 40222-4930
(502) 327-9100
(502) 742-3767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007231
KY
Other
Enumeration date
11/28/2011
Last updated
04/12/2013
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