Individual
KILEY A GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
3018 W LAKEWOOD DR, ALAMOSA, CO 81101-2127
(719) 588-0201
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
0188229
CO
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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