Brady, Kingdon Kibble
Brady, Kingdon Kibble is an sole proprietor health care provider with primary practice located at 2627 Redwing Rd Suite 300, Fort Collins CO 80526-6321. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brady, Kingdon Kibble can be contacted via phone (970) 484-0250.Contact Information
Primary practice address
2627 Redwing Rd Suite 300
Fort Collins CO 80526-6321
Phone: (970) 484-0250
Fax: (970) 484-1522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12010038A | Indiana |
Profile Details
| NPI number | 1255393765 |
|---|---|
| LBN Legal business name | Brady, Kingdon Kibble |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jan 4th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255393765 | NPPES |
| Indiana | MEDICAID | 200231810 |
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