Hibbler, Kakawonda T

Hibbler, Kakawonda T is an individual health care provider with primary practice located at 702 Highway 82 E , Indianola MS 38751-2322. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hibbler, Kakawonda T can be contacted via phone (662) 207-8492.

Contact Information

Primary practice address
702 Highway 82 E Indianola MS 38751-2322
Phone: (662) 207-8492
Fax: (662) 887-7042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X HIBB-HIF5DC Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X HIBB-HIF5DC Mississippi

Profile Details

NPI number 1578236964
LBN Legal business name Hibbler, Kakawonda T
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2021
Last updated Apr 5th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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