Individual
MRS. KIMBERLEY ROYAL GIBSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4906 OLD HIGHWAY 11, STE 8, HATTIESBURG, MS 39402-8874
(601) 268-9877
(601) 268-9609
Mailing address
4906 OLD HIGHWAY 11, STE 8, HATTIESBURG, MS 39402-8874
(601) 268-9877
(601) 268-9609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S1168
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123146
—
MS
Enumeration date
08/29/2005
Last updated
07/08/2007
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