Individual
MS. KIMBERLY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159-20 HARLEM RIVER DR APT 6B, NEW YORK, NY 10039-1204
(347) 979-3647
Mailing address
159-20 HARLEM RIVER DR APT 6B, NEW YORK, NY 10039-1204
(917) 979-3647
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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