Individual
MRS. KIMBERLEE FLOYD GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
807 S ISABELLA ST, SYLVESTER, GA 31791-7554
(229) 776-6961
Mailing address
110 SHAMROCK CIR, SYLVESTER, GA 31791-7234
(229) 347-5685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005167
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000965005A
—
GA
05
—
000965005E
—
GA
Enumeration date
01/14/2007
Last updated
04/22/2021
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