Individual
MR. LYLE D GIBBENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13839 S MUR LEN RD, SUITE K, OLATHE, KS 66062-1685
(913) 764-4563
(913) 764-4160
Mailing address
14652 S CONSTANCE ST, OLATHE, KS 66062-6590
(913) 764-5463
(913) 764-4160
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1957
KS
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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