Individual
KENDRA DEE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
601 N. GREEN ROAD, LAKE CITY, MI 49651
(231) 233-9786
Mailing address
601 N. GREEN ROAD, LAKE CITY, MI 49651
(231) 233-9786
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
14469
MI
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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