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Individual

MRS. KRISTY GIBBONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,RD, CSP, CSO, LDN

Contact information

Practice address
262 DANNY THOMAS PL # MS 732, MEMPHIS, TN 38105-3678
(901) 595-3318
(901) 595-3202
Mailing address
262 DANNY THOMAS PL # MS 732, MEMPHIS, TN 38105-3678
(901) 595-3318
(901) 595-3202

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
153
TN

Other

Enumeration date
04/03/2018
Last updated
04/03/2018
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