Individual
NADIA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 S CLIFTON AVE STE 205, WICHITA, KS 67218-2958
(316) 274-8188
Mailing address
1515 S CLIFTON AVE STE 205, WICHITA, KS 67218-2958
(316) 274-8188
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0434903
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719103
MEDICARE
—
05
—
200740010A
—
KS
Enumeration date
05/06/2008
Last updated
01/20/2023
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