Kibibi Gaughan is a Family Medicine in Lebanon, Pennsylvania. Kibibi Gaughan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kibibi Gaughan is 1902957905. The last update date is 2014-12-08.
Kibibi Gaughan's current location address is 101 Fairview Cir, Lebanon, Pennsylvania. You can contact this provider via phone number 7172797303 and fax number 7172797471. The mailing address for Kibibi Gaughan is 101 Fairview Cir, Lebanon, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kibibi Gaughan |
|---|---|
| Address | 101 Fairview Cir, Lebanon, Pennsylvania |
| Phone Number | 7172797303 |
| Fax Number | 7172797471 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902957905 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2014-12-08 |
Provider Mailing Address Detail
| Address | 101 Fairview Cir |
|---|---|
| City | Lebanon |
| State | Pennsylvania (PA) |
| Post Code | 170429581 |
| Phone Number | 7172797303 |
| Fax Number | 7172797471 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 226201 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2545705 | PA | HIGHMARK BLUE SHIELD | |
| 1025290710001 | PA | -- | |
| 6538657 | PA | AETNA HMO | |
| 1591119 | PA | GATEWAY HEALTH PLAN | |
| 9211298 | PA | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kibibi Gaughan by the Centers for Medicare & Medicaid Services?
The Kibibi Gaughan has been assigned the NPI (National Provider Identifier) 1902957905 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kibibi Gaughan's facilities are situated?
The facilities of Kibibi Gaughan are physically located at the following address: 101 Fairview Cir, Lebanon, PA, 170429581.
What is Kibibi Gaughan's area of expertise and its corresponding taxonomy classification?
The Kibibi Gaughan's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1902957905 to Kibibi Gaughan?
The Centers for Medicare & Medicaid Services assigned the 1902957905 to Kibibi Gaughan on 2007-01-16.
When was the information related to Kibibi Gaughan most recently updated or refreshed?
The details pertaining to the Kibibi Gaughan, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-12-08.