NPI 1043197650

Kenton Dequan Bibbs

Practitioner Health & Wellness Coach Jacksonville, FL

Practice location

Address: 8876 a C Skinner Pkwy Unit 8216, Jacksonville, FL 32256-0909
Phone: (386) 916-1579

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence 228984 (FL)

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Registry record

NPI: 1043197650
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2025
Record last updated: 18 Aug 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.