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NPI Code Detail

MEDICARE: DR. NIZAR D KIBAR MD

MEDICARE: DR. NIZAR D KIBAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician0429452KS
2207RG0300XGeriatric Medicine (Internal Medicine) Physician04-29452KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124096300
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIZAR D KIBAR MD
Provider Business Mailing Address
First Line : PO BOX 819
Second Line :
City : WICHITA
State : KS
Zip : 67201-0819
Country : US
Telephone Number : 620-723-2127
Fax Number : 620-723-1037
Provider Business Practice Location Address
First Line : 485 N KS HWY 2
Second Line :
City : ANTHONY
State : KS
Zip : 67003-2526
Country : US
Telephone Number : 206-914-1200
Fax Number : 206-914-1252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 08/16/2023

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Directions to “ DR. NIZAR D KIBAR MD” Practice Location

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