Individual
KEVIN J GILBERTSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS DC
Contact information
Practice address
3919 W CACTUS RD, PHOENIX, AZ 85029-2935
(602) 547-1860
(602) 547-1861
Mailing address
3919 W CACTUS RD, PHOENIX, AZ 85029-2935
(602) 547-1860
(602) 547-1861
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AZ5204
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0938330
BC
AZ
Enumeration date
12/02/2005
Last updated
07/08/2007
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