Basic Information
| Provider Information | |||||||||
| NPI: | 1568801801 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BIBEE | ||||||||
| FirstName: | KRISTIN | ||||||||
| MiddleName: | PAGE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9910 FRANKLIN SQUARE DR STE 2110 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212364902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109336423 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 601 N CAROLINE ST # 8083 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109555933 | ||||||||
| FaxNumber: | 4109551589 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2013 | ||||||||
| LastUpdateDate: | 12/02/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | MD465025 | PA | N | Allopathic & Osteopathic Physicians | Dermatology | 207ND0101X | MD465025 | PA | N | Allopathic & Osteopathic Physicians | Dermatology | MOHS-Micrographic Surgery | 207N00000X | D87568 | MD | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.