Gibson, Kenneth Marvin

Gibson, Kenneth Marvin is an sole proprietor health care provider with primary practice located at 2231 Broad Blvd , Cuyahoga Falls OH 44223-1411. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Gibson, Kenneth Marvin can be contacted via phone (800) 363-9886.

Contact Information

Primary practice address
2231 Broad Blvd Cuyahoga Falls OH 44223-1411
Fax: (330) 922-9977
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X C4872 Ohio

Profile Details

NPI number 1154520518
LBN Legal business name Gibson, Kenneth Marvin
Credentials PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 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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