| Doctor Name: | JENNIFER LYNN KIBBEY |
| NPI Number: | 1023071388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 50.001845 |
| Business Practice Address: | 5040 Forest Dr New Albany, OH - 430548167 |
| Business Phone Number: | 6148906555 |
| Business Fax Number: | 6148911484 |
| Mailing Address: | 70 S Cleveland Ave, WESTERVILLE |
| State: | OH |
| Postal Code: | 430811397 |
| Phone Number: | 6148906555 |
| Fax Number: | 6148238881 |
| NPI Enumeration Date: | 04/08/2006 |
| NPI Last Update Date: | 10/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 50.001845 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |