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NPI Code Detail

MEDICARE: DANIEL KIBLER DO

MEDICARE: DANIEL KIBLER DO
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
1208100000XPhysical Medicine & Rehabilitation Physician5817TN

General Provider Information

NPI Number : 1639631252
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL KIBLER DO
Provider Business Mailing Address
First Line : PO BOX 10005
Second Line :
City : KNOXVILLE
State : TN
Zip : 37939-0005
Country : US
Telephone Number : 615-598-4663
Fax Number :
Provider Business Practice Location Address
First Line : 101 FT SANDERS W BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3342
Country : US
Telephone Number : 615-598-4663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2019
Last Update Date : 08/14/2024

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