Provider Demographics
NPI:1508928045
Name:KIBLER, KARL (DC)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:
Last Name:KIBLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040B N HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-9315
Mailing Address - Country:US
Mailing Address - Phone:843-856-1444
Mailing Address - Fax:843-856-1555
Practice Address - Street 1:3040B N HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-9315
Practice Address - Country:US
Practice Address - Phone:843-856-1444
Practice Address - Fax:843-856-1555
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1443111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor