Gaughan, Kibibi
Gaughan, Kibibi is an individual health care provider with primary practice located at 101 Fairview Cir , Lebanon PA 17042-9581. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gaughan, Kibibi can be contacted via phone (717) 279-7303.Contact Information
Primary practice address
101 Fairview Cir
Lebanon PA 17042-9581
Phone: (717) 279-7303
Fax: (717) 279-7471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 226201 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD440939 | Pennsylvania |
Profile Details
| NPI number | 1902957905 |
|---|---|
| LBN Legal business name | Gaughan, Kibibi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Feb 26th, 2024 - about 10 months 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 | 1902957905 | NPPES |
| Pennsylvania | Other | 6538657 | AETNA HMO |
| Pennsylvania | MEDICAID | 1025290710001 | AETNA HMO |
| Pennsylvania | Other | 1591119 | AETNA HMO |
| Pennsylvania | Other | 2545705 | AETNA HMO |
| Pennsylvania | Other | 9211298 | AETNA HMO |
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