The Kidz Care Klinic

LBN: Michelle J. Gibson, Md Pllc
The Kidz Care Klinic is an health care organization with primary practice located at 5440 Watkins Dr Suite B, Jackson MS 39206-2034. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Michelle J. Gibson, Md Pllc can be contacted via phone (601) 364-2726, or through Gibson, Michelle Jeanette via phone (601) 364-2726.

Contact Information

Primary practice address
5440 Watkins Dr Suite B Jackson MS 39206-2034
Phone: (601) 364-2726
Fax: (601) 364-2731
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Michelle Jeanette Doctor of Medicine (MD)
Phone: (601) 364-2726

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 15752 Mississippi

Profile Details

NPI number 1639352784
LBN Legal business name Michelle J. Gibson, Md Pllc
DBA Doing business as The Kidz Care Klinic
Authorized official Gibson, Michelle Jeanette Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2007
Last updated Dec 12th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639352784 NPPES
Mississippi MEDICAID 00524231

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