Individual
KASSIDY LEANNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
137 COURTHOUSE SQ, LIBERTY, KY 42539-3425
(606) 303-9130
Mailing address
529 GASKIN DR, JAMESTOWN, KY 42629-2531
(270) 566-5277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
286582
KY
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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