Individual
DR. KELVIN DEVANE GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
2600 HOSPITAL DR, DOCTORS MEMORIAL HOSPITAL/DOCTOR'S SPECIALTY CLINC, BONIFAY, FL 32425-4264
(850) 547-8117
Mailing address
PO BOX 123, ARGYLE, FL 32422-0123
(407) 443-9784
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1341
VI
Other
Enumeration date
08/21/2006
Last updated
08/31/2010
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