Individual provider · Type 1 NPI

Tyler Patrick McKibben, MD

Family Medicine Physician · Carbondale, IL

NPI number 1083425243 Active

Practice location

300 W Oak St Ste 200
Carbondale, IL 62901-1400

Call (618) 536-6621 Map

Other practice locations

  • 611 W Main St, Fredericktown, MO 63645-1146 · (573) 783-3341

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000X2025005124 (MO)
Family Medicine Physician Primary 207Q00000X125086259 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11 other providers at this address

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About NPI 1083425243

Tyler Patrick McKibben, MD's National Provider Identifier is 1083425243, issued on Jan 16, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Carbondale, IL. The record was last updated on Jul 8, 2025.