Derek McKibben
Derek McKibben is a Private Vehicle in Jenkinsburg, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
375 Shiloh RdJenkinsburg, GA 30234-2422
Phone: (404) 973-9763
Fax: (470) 771-5123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Private Vehicle (primary) | Taxonomy 347C00000X |
|---|
Record details
| NPI number | 1326830555 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2025 |
| Last updated in NPPES | May 22, 2025 |
| Certification date | May 20, 2025 |