Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse J Kibert, PA

Individual provider Medical Physician Assistant · NPI 1104072388

Jesse J Kibert, PA is a Medical Physician Assistant in Canton, New York. Licensed in Kansas and New York. Registered with an NPI since 2008.

Licensed in
KS, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4 Commerce Ln
Canton, NY 13617-3739
Phone: (315) 386-8191
Fax: (315) 386-1410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 014002 (NY)
Medical Physician Assistant Taxonomy 363AM0700X (KS)

Record details

NPI number1104072388
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 7, 2008
Last updated in NPPESJuly 6, 2011