Doctor Name: | SARAH BESS TIBBS |
NPI Number: | 1861758922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 30 Stacy Lane Rd Irvine, KY - 403367356 |
Business Phone Number: | 6067230665 |
Business Fax Number: | 6067230680 |
Mailing Address: | 1010 Main St S, MC KEE |
State: | KY |
Postal Code: | 404477089 |
Phone Number: | 8596267700 |
Fax Number: | 8596267890 |
NPI Enumeration Date: | 04/03/2012 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |