# DR. KENDALL A GIBBS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316053564
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD6974 | RI | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 06/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000001693 | BLUE SHIELD OF RI | RI |
| 01 | — | 010018378 | RAILROAD MEDICARE | RI |
| 01 | — | 0800158 | UNITED HEALTH CARE | RI |
| 01 | — | 1055 | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | RI |
| 01 | — | 15459RIH | HARVARD PILGRIM HEALTH CARE | RI |
| 01 | — | 454425 | AETNA | RI |
| 01 | — | 795484 | TUFTS HEALTH PLAN | RI |
| 05 | — | 9001693 | — | RI |