Provider Demographics
NPI:1316809437
Name:KIBLER, SHERLEEN
Entity type:Individual
Prefix:
First Name:SHERLEEN
Middle Name:
Last Name:KIBLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 DELAFIELD ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2348
Mailing Address - Country:US
Mailing Address - Phone:202-480-1087
Mailing Address - Fax:
Practice Address - Street 1:1656 TRINIDAD AVE NE APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2740
Practice Address - Country:US
Practice Address - Phone:202-480-1087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-26
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC21127843747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant