Gibson, Kathleen Rae

Gibson, Kathleen Rae is an individual health care provider with primary practice located at 1496 W Hoosier Blvd , Peru IN 46970-3727. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gibson, Kathleen Rae can be contacted via phone (765) 472-5032.

Contact Information

Primary practice address
1496 W Hoosier Blvd Peru IN 46970-3727
Fax: (765) 472-8999
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 27056635A Indiana

Profile Details

NPI number 1821783887
LBN Legal business name Gibson, Kathleen Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2023
Last updated Apr 6th, 2023 - 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.

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