Individual
JASON KIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 PARK AVE, MIAMISBURG, OH 45342-2854
(937) 866-4347
Mailing address
540 PARK AVE, MIAMISBURG, OH 45342-2854
(937) 866-4347
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1459547
OH
Other
Enumeration date
02/09/2014
Last updated
02/09/2014
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