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1881640936
MICHAEL A MCKIBBEN
LOUISVILLE, KY
NPI
1881640936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 37619)
Enumeration Date
2006-05-26
Last Update Date
2015-04-17
Business Address
-- MICHAEL A MCKIBBEN M.D.
189 OUTER LOOP
LOUISVILLE, KY 40214-5544
Phone number: 502-363-1731
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Mailing Address
-- MICHAEL A MCKIBBEN M.D.
PO BOX 950202
LOUISVILLE, KY 40295-0202
Phone number: 502-588-9490
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