Gibson, Kimberly

Gibson, Kimberly is an individual health care provider with primary practice located at 4588 N Rancho Dr Suite 12, Las Vegas NV 89130-3426. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gibson, Kimberly can be contacted via phone (702) 396-3464.

Contact Information

Primary practice address
4588 N Rancho Dr Suite 12 Las Vegas NV 89130-3426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 06-05AE-PL Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X CI0010 Nevada

Profile Details

NPI number 1548325012
LBN Legal business name Gibson, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Oct 7th, 2009 - about 15 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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