Individual
KYLE THOMAS GIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 VALLEY RD STE 210, LINCOLN, NE 68510-4892
(402) 483-4591
(402) 483-5079
Mailing address
4600 VALLEY RD STE 210, LINCOLN, NE 68510-4892
(402) 483-4591
(402) 483-5079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8173
NE
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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