Individual
JEREMY MATTHEW GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, NREMT, EMT-B
Contact information
Practice address
2739 ALBRIGHT RD, KOKOMO, IN 46902
(765) 455-8545
Mailing address
2739 ALBRIGHT RD, KOKOMO, IN 46902-3996
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/29/2018
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