Individual
MS. LAUREL SUSAN KIBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 W SCOTT ST, WILLCOX, AZ 85643-1017
(520) 384-4421
(520) 384-4645
Mailing address
901 WEST REX ALLEN DRIVE, WILLCOX, AZ 85643
(520) 384-3541
(520) 384-4553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4754
AZ
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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