GEORGE KENT KIBLER MD NPI 1184657637

NPI Information

NPI: 1184657637
Provider Name: GEORGE KENT KIBLER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
501 E. LOCUST STREET
LONE PINE, CA
ZIP 93545
Phone: (760) 876-5501
Get Directions

George Kent Kibler, MD is a family medicine in Lone Pine, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. George Kent Kibler, MD NPI is 1184657637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 E. LOCUST STREET
LONE PINE, CA
ZIP 93545-009
Phone: (760) 876-5501
Fax: (760) 876-4388

The NPI 1184657637 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 4/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		C37172	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C37172	OTHER	CALIFORNIA	LICENSE
2	A36518	MEDICARE UPIN	CALIFORNIA
3	00C371720	OTHER	CALIFORNIA	BLUE SHIELD
4	080026203	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	RAILROAD
5	002086560	MEDICAID	NEVADA
6	0205422	OTHER	WASHINGTON	WA WORKERS COMP
7	553941	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
8	ZZZ10697Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
9	GR0021672	MEDICAID	CALIFORNIA
10	770051426001	OTHER	CALIFORNIA	TRICARE
11	183283900	OTHER	CALIFORNIA	WORKERS COMP
12	183283900	OTHER	CALIFORNIA	EIN
13	RHM53941F	MEDICAID	CALIFORNIA
14	00C371720	OTHER	CALIFORNIA	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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