Gibbons, Shelby Kaitlyn
Gibbons, Shelby Kaitlyn is an individual health care provider with primary practice located at 2619 W Fairview Ave Ste 3100 , Boise ID 83702-6722. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gibbons, Shelby Kaitlyn can be contacted via phone (208) 706-2663.Contact Information
Primary practice address
2619 W Fairview Ave Ste 3100
Boise ID 83702-6722
Phone: (208) 706-2663
Fax: (208) 486-4300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA61349330 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-2723 | Idaho |
Profile Details
| NPI number | 1265009781 |
|---|---|
| LBN Legal business name | Gibbons, Shelby Kaitlyn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2021 |
| Last updated | May 8th, 2024 - about last year |
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.
Popular Providers
-
Borst, Alicia R
3960 W. Wainwright , Boise ID 83713 -
Jones, Sean A
500 W Fort St , Boise ID 83702-4501 -
Sparrell, Marvin Charles
500 W Fort St , Boise ID 83702-4501 -
Hardesty, Michael D
1055 N Curtis Rd , Boise ID 83706-1309 -
Buzzini, Robert James
1075 N Curtis Road Ste 300, Boise ID 83706 -
Burnett, Scott B
333 N 1St St Suite 280, Boise ID 83702-6100 -
Winschel, Daniel
444 W Fort St Fl 2 , Boise ID 83702-4535 -
Anneke, Kathleen
1072 N Liberty St Ste 100 , Boise ID 83704-8708