Provider Demographics
NPI:1033416847
Name:KIBLER, ASHLEY VIRGINIA
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:VIRGINIA
Last Name:KIBLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 S MOUND ST
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-4700
Mailing Address - Country:US
Mailing Address - Phone:214-336-9079
Mailing Address - Fax:
Practice Address - Street 1:712 DEVON ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-1926
Practice Address - Country:US
Practice Address - Phone:214-336-9079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator