MR. Channon Lawrence Mckibben
NPI #1487189429 in Marengo, Iowa
Provider Information
- NPI Number
- 1487189429
- Entity Type
- Individual
- Name
- MR. Channon Lawrence Mckibben
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Apr 27, 2017
- Last Updated
- Jul 9, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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