Individual
ABRAHAM S KIBBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2 W CRESCENT PARK FL 2, WARREN, PA 16365-2111
(814) 723-4040
(814) 723-9412
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-0407
(814) 726-9412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058748
PA
Other
Enumeration date
11/08/2016
Last updated
08/12/2020
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