MEDICARE: MRS. WHITNEY KIBLER

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
1	176B00000X	Midwife	202-049	WI

General Provider Information

NPI Number	:	1780150284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WHITNEY KIBLER

Provider Business Mailing Address
First Line	:	N99W16152 NORTHWAY
Second Line	:
City	:	GERMANTOWN
State	:	WI
Zip	:	53022-5026
Country	:	US
Telephone Number	:	253-222-1562
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 N 108TH PL
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-4253
Country	:	US
Telephone Number	:	414-231-9640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2018
Last Update Date	:	12/10/2025

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