Individual
DR. KENDALL A GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 BOSWORTH ST, BARRINGTON, RI 02806-4100
(401) 247-2015
Mailing address
24 BOSWORTH ST, BARRINGTON, RI 02806-4100
(401) 247-2015
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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