Kibun Health NC PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KIBUN HEALTH NC PLLC

Practice address

4108 Park Rd Ste 321
Charlotte, NC 28209-2259

Phone

(205) 583-6661

Fax

(617) 362-2499

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Phillip SmithNPI 1427404193

Title

Dir.

Phone

(205) 583-6661

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip A Smith, MD

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1427404193
  NPD Authorized official

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1881463545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18957",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282180957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 PARK RD STE 321",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092259",
            "telephone_number": "205-583-6661",
            "fax_number": "617-362-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIBUN HEALTH NC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "DIR.",
        "authorized_official_telephone_number": "205-583-6661"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salwan Khudhur, DDS
• Neera Khurana, M.D.
• Sarah Kibbee, CNS
• Dmitri Kibenko, CRNA
• John Christopher Kibler, D.D.S.
• Katie Kickertz, DDS, MS
• Leslie Mize Kidd, OTL
• Kids Can, LLC
• Kids Central of the Carolinas, LLC
• Kids Club ABA NC

• Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.