YOSELINE C KIBIC


Address: 9001 Digges Rd Ste 107&108, Manassas, VA 20110-4421
Phone: 7033301112

YOSELINE C KIBIC (NPI# 1922563055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922563055
Entity Type Individual
Full Name YOSELINE C KIBIC
Credential PA-C
Practice Address 9001 Digges Rd Ste 107&108
Manassas
VA 20110-4421
Mailing Address 4106 Loston Ct Apt 103
Fairfax
VA 22033-4337
Practice Telephone 7033301112
Enumeration Date 2019-02-03
Last Update Date 2020-06-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110007040 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
44831 Milestone Sq Apt 435, Ashburn, VA 201474225 7037310754

Office Location

Street Address 9001 DIGGES RD STE 107&108
City MANASSAS
State VA
Zip Code 20110-4421

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184246787 Sini Eapen Nurse Practitioner 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 2020-05-18
1023662202 United Health Home Care Agency Registered Nurse 8789 Commerce Ct#202, Manassas, VA 20110 2019-07-26
1750868097 Elaine K. Sours, D.d.s., P.C. Dentist 8719 Plantation Lane, Manassas, VA 20110 2018-07-19
1962904573 Donielle Francis Specialist/Technologist 10420 Monterosa Pl, Manassas, VA 20110 2018-02-28
1003332354 Katrina Kask Occupational Therapist 6985 Centreville Rd., Manassas, VA 20110 2017-08-18
1477091478 Mega Health Services, Inc General Practice 9602 Champion Ct, Manassas, VA 20110 2017-02-09
1811340599 Malik Usman Dds, PC Dentist 8559 Sudley Road, Manassas, VA 20110 2016-07-19
1871944660 Chitra Subbaraj Physical Therapist 8595 Centreville Rd, Manassas, VA 20110 2016-06-23
1093186512 Daczkowski Orthodontics Dentist 8715 Stonewall Road, Manassas, VA 20110 2015-10-09
1851770366 Candace Fleming Counselor 9242b Mosby St, Manassas, VA 20110 2015-05-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447221635 Billy S. Burk Physician Assistant 8325 Rolling Road, Suite 300, Manassas, VA 20110-3673 2006-01-27
1497395107 Emma Winslow Adelman Physician Assistant 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 2020-01-10
1366983835 Lauren H Mast Physician Assistant 8525 Rolling Rd Ste 300, Manassas, VA 20110-3673 2017-03-16
1578918611 Christopher Lotfabadi Physician Assistant 8525 Rolling Rd, Suite 200, Manassas, VA 20110-3647 2016-04-26
1558753293 Lori Dodd Doyle Physician Assistant 8650 Sudley Rd, Suite #310, Manassas, VA 20110-4419 2015-03-03
1154720399 Barbara Holloway-toliver Physician Assistant 9715 Liberia Ave, Manassas, VA 20110-5837 2014-08-13
1124319801 Berkley Leo Williams Physician Assistant 8708 Sudley Rd, Manassas, VA 20110-4405 2011-04-28
1689806531 Christa M Purdum Physician Assistant 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2009-08-11
1245475607 Michelle Bachtold Physician Assistant 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2008-12-12
1942454269 Ethel M Henry Physician Assistant 10692 Crestwood Dr Ste B, Manassas, VA 20109-4410 2008-11-13
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Competitor

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City MANASSAS
Zip Code 20110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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