Gipson, Kathy

Gipson, Kathy is an individual health care provider with primary practice located at 1505 S Oswego Ave , Russellville AR 72802-2673. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gipson, Kathy can be contacted via phone (479) 967-3370.

Contact Information

Primary practice address
1505 S Oswego Ave Russellville AR 72802-2673
Phone: (479) 967-3370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 93-16E Arkansas

Profile Details

NPI number 1548307853
LBN Legal business name Gipson, Kathy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 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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