Richard Glenn Kibbey III, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

D7611 Issued in TX

Practice address

1900 Medi Park Dr
Amarillo, TX 79106-2104

Phone

(806) 355-9447

Fax

(806) 356-9251

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1093706624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791591800",
            "telephone_number": "806-355-9447",
            "fax_number": "806-356-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MEDI PARK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062104",
            "telephone_number": "806-355-9447",
            "fax_number": "806-356-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBBEY",
        "first_name": "RICHARD",
        "middle_name": "GLENN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "D7611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faisal Abdulah Khasawneh, M.D.
• Mohamedaouf Khaznadar, MD
• Anjali Subhash Kherdekar, MD
• Richard C Khu, MD
• Raja Jawad Kiani, M.D.
• Joshua Kilgore, MD
• Tracy M Kilgore, LCSW-S
• Arian Jaye Killebrew, APRN, FNP-BC
• Sang Tae C Kim, DO
• Christina Kimbrell

• Urology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.