NPI 1013713122

Justin Ryan McKibben

Practitioner Community Health Worker South Sioux City, NE

Practice location

Address: 1201 Arbor Dr, South Sioux City, NE 68776-2421
Phone: (402) 494-3337
Mailing address: PO Box 355, South Sioux City, NE 68776-0355

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Nebraska →

Registry record

NPI: 1013713122
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2025
Record last updated: 20 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.