| Doctor Name: | HOLLY JASON KIBBLE |
| NPI Number: | 1447478219 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0101238400 |
| Business Practice Address: | 1300 W Broad St Suite 2200 Richmond, VA - 232849089 |
| Business Phone Number: | 8048287320 |
| Business Fax Number: | |
| Mailing Address: | 4626 Halleys Cir, GLEN ALLEN |
| State: | VA |
| Postal Code: | 230603551 |
| Phone Number: | 8042178043 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101238400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |