Gibbons, Kathleen E

Gibbons, Kathleen E is an individual health care provider with primary practice located at 15345 Bagley Rd , Middleburg Heights OH 44130-4825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gibbons, Kathleen E can be contacted via phone (440) 743-8400.

Contact Information

Primary practice address
15345 Bagley Rd Middleburg Heights OH 44130-4825
Phone: (440) 743-8400
Fax: (440) 743-8401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 166540 Ohio

Profile Details

NPI number 1174524235
LBN Legal business name Gibbons, Kathleen E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174524235 NPPES
Ohio MEDICAID 0769440

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