Derek Bakari McKibben
Case Manager/Care Coordinator · Macclenny, FL
Practice location
92 W Lowder StMacclenny, FL 32063-2676
- Phone
- (352) 374-5615
NPI record
- NPI
- 1205485711
- Entity type
- Individual (Type 1)
- Enumeration date
- September 6, 2019
- Last updated
- September 6, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X |
— | — |
Mailing address
4300 SW 13TH StGainesville, FL 32608-4006
- Phone
- (352) 374-5600
- Fax
- (352) 224-2741
About Derek McKibben
Derek Bakari McKibben is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 92 W Lowder St, Macclenny, FL 32063-2676. The NPI number 1205485711 was assigned on September 6, 2019 and the record was last updated on September 6, 2019.
Frequently asked questions
What is the NPI number of Derek Bakari McKibben?
The NPI number is 1205485711.
What is the phone number of Derek McKibben?
The phone number listed for the practice location is (352) 374-5615.
Where is Derek McKibben located?
92 W Lowder St, Macclenny, FL 32063-2676.
What is the taxonomy code for Derek McKibben?
The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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