Richard J Mckibben in Kingsland - Electrophysiology, Clinical
Richard J Mckibben - NPI 1407949134
Richard J Mckibben is a Electrophysiology, Clinical in Kingsland, Georgia. Richard J Mckibben practices all healthcare services and medical treatments related to Electrophysiology, Clinical. The NPI Number for Richard J Mckibben is 1407949134. The last update date is 2010-11-10.
Richard J Mckibben's current location address is 100 A Lindsey Lane, Kingsland, Georgia. You can contact this provider via phone number 9127291333 and fax number 9127295259. The mailing address for Richard J Mckibben is 100 A Lindsey Lane, Kingsland, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard J Mckibben |
|---|---|
| Address | 100 A Lindsey Lane, Kingsland, Georgia |
| Phone Number | 9127291333 |
| Fax Number | 9127295259 |
| Sole Proprietor | N |
| Credentials | PT, DWC, E |
NPI Number Detail
| NPI Number | 1407949134 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2010-11-10 |
Provider Mailing Address Detail
| Address | 100 A Lindsey Lane |
|---|---|
| City | Kingsland |
| State | Georgia (GA) |
| Post Code | 315480000 |
| Phone Number | 9127291333 |
| Fax Number | 9127295259 |
Provider's Primary Taxonomy Detail
| Speciality | Electrophysiology, Clinical |
|---|---|
| Taxonomy | 2251E1300X |
| Licence No | PT004832 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 818354932J | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Richard J Mckibben by the Centers for Medicare & Medicaid Services?
The Richard J Mckibben has been assigned the NPI (National Provider Identifier) 1407949134 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Richard J Mckibben is physically located?
The Richard J Mckibben is situated at the following address: 100 A Lindsey Lane, Kingsland, GA 315480000.
What is Richard J Mckibben's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard J Mckibben's area of specialization is Electrophysiology, Clinical, and the corresponding taxonomy code that categorizes this field of practice is 2251E1300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407949134 to Richard J Mckibben?
The Richard J Mckibben received its 1407949134 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the details related to Richard J Mckibben most recently updated or revised?
The information pertaining to Richard J Mckibben, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-10.