# KRISTEN GIBERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164076691
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0102X | Surgical Critical Care Physician | 023747 | NY | Yes |
| 363A00000X | Physician Assistant | 023747 | NY | — |

## Other

- **Enumeration date:** 08/01/2019
- **Last updated:** 08/05/2019