Kibbe, Shane Jacob

Kibbe, Shane Jacob is an individual health care provider with primary practice located at 935 Chambers Blvd , Bardstown KY 40004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kibbe, Shane Jacob can be contacted via phone (502) 834-5676.

Contact Information

Primary practice address
935 Chambers Blvd Bardstown KY 40004
Phone: (502) 834-5676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X R2958 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R2958 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 50338 Kentucky

Profile Details

NPI number 1265708168
LBN Legal business name Kibbe, Shane Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Aug 23rd, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265708168 NPPES
Indiana Other 01080524A LICENSE

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