| Kristi Nicole Hibbert, SLP | |
|
1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | |
| (301) 618-5500 | |
| Not Available |
| Full Name | Kristi Nicole Hibbert |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 17 Years |
| Location | 1221 Mercantile Ln, Upper Marlboro, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790934040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 07239 (Maryland) | Secondary |
| 235Z00000X | Speech-language Pathologist | (District Of Columbia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
| Provider Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Nicole Hibbert, SLP 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 Ph: (301) 618-5500 | Kristi Nicole Hibbert, SLP 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 Ph: (301) 618-5500 |
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