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Individual

DR. CHARLES W GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3901 RAINBOW BLVD, MAILSTOP 2028, KANSAS CITY, KS 66160-0001
(913) 588-6201
(913) 588-6271
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6201

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
04-32563
KS
207VM0101X
Maternal & Fetal Medicine Physician
115621
MO
207VM0101X
Maternal & Fetal Medicine Physician
38422
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3893560
TN
Enumeration date
04/27/2006
Last updated
10/13/2014
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