Individual
GWENDOLYN SOPHIA KIBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15315 W 67TH ST, SHAWNEE, KS 66217-9365
(913) 632-4785
Mailing address
15315 W 67TH ST, SHAWNEE, KS 66217-9365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07563
KS
Other
Enumeration date
03/21/2024
Last updated
03/27/2024
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