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NPI Code Detail

MEDICARE: AMANDA MAE KIBLER

MEDICARE:   AMANDA MAE 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1780356915
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MAE KIBLER
Provider Business Mailing Address
First Line : 3703 N HOOVER AVE
Second Line :
City : GLADWIN
State : MI
Zip : 48624-7300
Country : US
Telephone Number : 989-429-4449
Fax Number :
Provider Business Practice Location Address
First Line : 3703 N HOOVER AVE
Second Line :
City : GLADWIN
State : MI
Zip : 48624-7300
Country : US
Telephone Number : 989-429-4449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2021
Last Update Date : 10/05/2021

Similar Medicare Providers

1073999298 — MYMICHIGAN MEDICAL CENTER GLADWIN
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1881869774 — MYMICHIGAN MEDICAL CENTER GLADWIN
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Directions to “ AMANDA MAE KIBLER ” Practice Location

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