Gibson, Kim

Gibson, Kim is an individual health care provider with primary practice located at 16405 Sunny Glenn Ave , Cleveland OH 44128-3776. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Gibson, Kim can be contacted via phone (216) 801-9792.

Contact Information

Primary practice address
16405 Sunny Glenn Ave Cleveland OH 44128-3776
Phone: (216) 801-9792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP.0031125 Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN378521 Ohio

Profile Details

NPI number 1891813572
LBN Legal business name Gibson, Kim
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Apr 6th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891813572 NPPES
Ohio MEDICAID 2206615

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