Individual
KENNETH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4327 4TH ST SE APT 3, WASHINGTON, DC 20032-3387
(434) 480-5245
Mailing address
46528 VALLEY CT APT 3019, LEXINGTON PARK, MD 20653-1848
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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