Individual
MRS. KRISTIN LYNNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-7201
Mailing address
28824 S MEADOW RD, CATOOSA, OK 74015-6344
(918) 698-8836
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1233
OK
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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