NPI 1295739878

William Blake McKibbin, MD

Practitioner Surgery Physician Fishersville, VA

Practice location

Address: 16 Ivy Ridge Ln STE 130, Fishersville, VA 22939-2354
Phone: (540) 332-5909
Fax: (540) 332-5910

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 0101240500 (VA)

Other Surgery providers in Virginia →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 052784 (GA)

Registry record

NPI: 1295739878
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2005
Record last updated: 13 Feb 2020

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.