Individual
MR. ALVIN JOSEPH GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PUBLIC HEALTH RN
Contact information
Practice address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 956-0100
Mailing address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223
(270) 956-0100
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
134528
NC
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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