| Doctor Name: | JULIE MARIE MCKIBBEN |
| NPI Number: | 1992781462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 26530 |
| Business Practice Address: | 4810 Whitesport Cir Sw Suite 215 Huntsville, AL - 358017419 |
| Business Phone Number: | 2564294540 |
| Business Fax Number: | 2564294546 |
| Mailing Address: | 4810 Whitesport Cir Sw, Suite 215 HUNTSVILLE |
| State: | AL |
| Postal Code: | 358017419 |
| Phone Number: | 2564294540 |
| Fax Number: | 2564294546 |
| NPI Enumeration Date: | 12/16/2005 |
| NPI Last Update Date: | 06/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 26530 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |