Gibson, Kendall Maree
Gibson, Kendall Maree is an individual health care provider with primary practice located at 910 Cook Rd , Orangeburg SC 29118-2124. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gibson, Kendall Maree can be contacted via phone (803) 534-2328.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1700410149 |
|---|---|
| LBN Legal business name | Gibson, Kendall Maree |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2020 |
| Last updated | Feb 25th, 2020 - about 4 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 | 1700410149 | NPPES |
| South Carolina | MEDICAID | 570609170 |
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