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Contact Information

BRANDON T KIBBY, DO
1 CHILDRENS PLZ
DAYTON, OH45404-1873
 Phone: 937-641-3477
 Fax: 937-641-5410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BRANDON T KIBBY · (Male)

NPI Number 1144271149
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/14/2006
Last updated 10/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02001980
  • OH License # 34.014194
  • IN Medicaid 200313780
  • OH Medicaid 2545884
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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