Kelly Hibner, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2024005728 Issued in MO

Practice address

939 NW 71 Road
Chilhowee, MO 64733

Phone

(660) 383-6059

Fax

(800) 864-1060

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1730487281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 NW 71 ROAD",
            "city": "CHILHOWEE",
            "state": "MO",
            "postal_code": "64733",
            "telephone_number": "660-383-6059",
            "fax_number": "800-864-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 NW 71 ROAD",
            "city": "CHILHOWEE",
            "state": "MO",
            "postal_code": "64733",
            "telephone_number": "660-383-6059",
            "fax_number": "800-864-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBNER",
        "first_name": "KELLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2024005728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Chilhowee, MO
• Providers in Chilhowee, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.