Individual
KEVIN KIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 NICHOLS DR, BARBOURSVILLE, WV 25504-1813
(304) 733-6188
Mailing address
25 NICHOLS DR, BARBOURSVILLE, WV 25504-1813
(304) 733-6188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0006285
WV
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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