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

Victor Kiebalo, MD

Individual provider Diagnostic Radiology Physician · NPI 1225655749

Victor Kiebalo, MD is a Diagnostic Radiology in Jacksonville, Florida. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Florida and Oklahoma.

Years since qualifying
6
Licensed in
FL, OK
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 940 Ne 13th St., Oklahoma City, OK 73104-5008 — (405) 271-8001

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME173325 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 38205 (OK)

Record details

NPI number1225655749
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2020
Last updated in NPPESApril 17, 2025
Certification dateMarch 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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