Individual
JULIE MARIE MCKIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4810 WHITESPORT CIR SW, SUITE 215, HUNTSVILLE, AL 35801-7419
(256) 429-4540
(256) 429-4546
Mailing address
4810 WHITESPORT CIR SW, SUITE 215, HUNTSVILLE, AL 35801-7419
(256) 429-4540
(256) 429-4546
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD 29839
AL
208D00000X
General Practice Physician
26530
SC
Other
Enumeration date
12/16/2005
Last updated
06/18/2013
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