IndividualActive
Brian Kibby, AU.D.
NPI 1396985974 · Audiologist · Detroit, MI
Provider details
- NPI number
- 1396985974
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AU.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1601000008 (MI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
4646 John R St
11g-As
Detroit, MI 48201-1916
Phone: (313) 576-1000
Fax: (313) 576-1092
Approximate (ZIP-level) locationGet directions
Mailing address
4646 John R St
Detroit, MI 48201-1916
Registry dates
- Enumerated
- 2009-02-23
- Last updated
- 2012-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.