Individual
DR. KEVIN J GIBBONS
Active
Individual
DR. KEVIN J GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
177872
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010063202
UNIVERA INSURANCE
NY
01
—
000524440002
BLUE CROSS OF WNY
NY
05
—
01432113
—
NY
01
—
0605580
INDEPENDENT HEALTH INS
NY
01
—
CNS177872
WORKERS COMPENSATION
NY
Enumeration date
03/17/2006
Last updated
02/27/2013
Update your record
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