LARRY E KIBLER M.D. NPI 1003868431

NPI Information

NPI: 1003868431
Provider Name: LARRY E KIBLER, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
1083 BOILING SPRINGS RD
SPARTANBURG, SC
ZIP 29303
Phone: (864) 583-8647
Get Directions

Larry E Kibler, M.D. is a cardiovascular disease internal medicine in Spartanburg, SC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Larry E Kibler, M.D. NPI is 1003868431. 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:

1083 BOILING SPRINGS RD
SPARTANBURG, SC
ZIP 29303-248
Phone: (864) 583-8647
Fax: (864) 542-2227

The NPI 1003868431 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/27/2008.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	7082	SOUTH CAROLINA	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	070826	MEDICAID	SOUTH CAROLINA
2	4314886	OTHER		AETNA PIN
3	B917993365	MEDICARE PIN
4	890662F	MEDICAID	NORTH CAROLINA
5	26393	OTHER		MEDCOST PIN
6	B917998688	MEDICARE PIN
7	060057236	MEDICARE PIN
8	B91799	MEDICARE UPIN
9	060044583	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE RAILROAD

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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