Provider Demographics
NPI:1528369287
Name:BIBBS, KAREN (HHA/CNA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:BIBBS
Suffix:
Gender:F
Credentials:HHA/CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 LILY PAD LN
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-3676
Mailing Address - Country:US
Mailing Address - Phone:407-715-4681
Mailing Address - Fax:
Practice Address - Street 1:2308 LILY PAD LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-3676
Practice Address - Country:US
Practice Address - Phone:407-715-4681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator