Gibson, Kristine M
Gibson, Kristine M is an individual health care provider with primary practice located at 1000 Oakland Drive , Kalamazoo MI 49008-8012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gibson, Kristine M can be contacted via phone (269) 337-6400.Contact Information
Primary practice address
1000 Oakland Drive
Kalamazoo MI 49008-8012
Phone: (269) 337-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301063502 | Michigan |
Profile Details
| NPI number | 1972573525 |
|---|---|
| LBN Legal business name | Gibson, Kristine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jan 7th, 2015 - about 10 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 | 1972573525 | NPPES |
| Michigan | MEDICAID | 3503353 |
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