Individual
KALEB JOSEPH GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
(252) 438-4143
Mailing address
359 TREMONT AVE, KENMORE, NY 14217-2237
(716) 485-1116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
343305
NY
363LF0000X
Family Nurse Practitioner
Primary
5010955
NC
Other
Enumeration date
09/06/2018
Last updated
09/27/2022
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