Individual
CAROLYN KAYE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(410) 448-2500
Mailing address
29 HOMESTEAD ST, BEL AIR, MD 21014-4104
(443) 987-4442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R702634
MD
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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