Individual
DR. KENDALL A GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD6974
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000001693
BLUE SHIELD OF RI
RI
01
—
010018378
RAILROAD MEDICARE
RI
01
—
0800158
UNITED HEALTH CARE
RI
01
—
1055
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND
RI
01
—
15459RIH
HARVARD PILGRIM HEALTH CARE
RI
01
—
454425
AETNA
RI
01
—
795484
TUFTS HEALTH PLAN
RI
05
—
9001693
—
RI
Enumeration date
08/21/2006
Last updated
06/02/2008
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