Carlson Gibas, Kelly Joan

Carlson Gibas, Kelly Joan is an individual health care provider with primary practice located at 13700 Reimer Dr N Ste 220 , Maple Grove MN 55311-4548. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Health Educator, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Carlson Gibas, Kelly Joan can be contacted via phone (763) 424-2474.

Contact Information

Primary practice address
13700 Reimer Dr N Ste 220 Maple Grove MN 55311-4548
Phone: (763) 424-2474
Fax: (763) 424-2711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X Minnesota
Other Service Providers / Health Educator 174H00000X Minnesota
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X CC01539 Minnesota

Profile Details

NPI number 1588189955
LBN Legal business name Carlson Gibas, Kelly Joan
Credentials DBH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2017
Last updated Aug 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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