Individual
KELLY ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6400 GREENFIELD RD, #908, ELKRIDGE, MD 21075-9101
(410) 796-5917
Mailing address
6400 GREENFIELD RD, #908, ELKRIDGE, MD 21075-9101
(410) 796-5917
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R165752
MD
Other
Enumeration date
02/02/2013
Last updated
04/08/2014
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