Kibler, Larry E

Kibler, Larry E is an individual health care provider with primary practice located at 1083 Boiling Springs Rd , Spartanburg SC 29303-2248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kibler, Larry E can be contacted via phone (864) 583-8647.

Contact Information

Primary practice address
1083 Boiling Springs Rd Spartanburg SC 29303-2248
Fax: (864) 542-2227
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 7082 South Carolina

Profile Details

NPI number 1003868431
LBN Legal business name Kibler, Larry E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 27th, 2008 - about 16 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 1003868431 NPPES
South Carolina MEDICAID 070826
South Carolina Other 26393
South Carolina Other 4314886
South Carolina MEDICAID 890662F

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