Gibson, Kathleen
Gibson, Kathleen is an individual health care provider with primary practice located at 1135 116Th Ave Ne Suite 305, Bellevue WA 98004-4623. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Gibson, Kathleen can be contacted via phone (425) 453-1772.Contact Information
Primary practice address
1135 116Th Ave Ne Suite 305
Bellevue WA 98004-4623
Phone: (425) 453-1772
Fax: (425) 453-0603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00036183 | Washington |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD00036183 | Washington |
Profile Details
| NPI number | 1295769727 |
|---|---|
| LBN Legal business name | Gibson, Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Feb 25th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295769727 | NPPES |
| Washington | Other | 020050341 | RR MEDICARE |
| Washington | MEDICAID | 8292211 | RR MEDICARE |
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