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Kristy Leigh Dibble, NP

Nurse Practitioner, Pediatrics in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1457716151
StatusActive
Last updated in NPPESMar 30, 2016

Details

NPI
1457716151
Entity type
Individual (NPI-1)
Name
Kristy Leigh Dibble
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 22, 2015
Last updated
Mar 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAP05714LAYes

Practice location

4560 North Blvd
Suite 108
Baton Rouge, LA 70806-4043

Phone 225-928-0695 · Fax 225-341-5903

Mailing address

4550 North Blvd
Suite 250
Baton Rouge, LA 70806-4013

Phone 225-926-1269 · Fax 225-927-7367

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