Individual
KASHEN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(503) 494-8220
Mailing address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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