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Individual

M KELSEY GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2870 LEWIS LN, SUITE 227, PARIS, TX 75460-9379
(903) 784-3326
(903) 737-0840
Mailing address
2870 LEWIS LN, SUITE 227, PARIS, TX 75460-9379
(903) 784-3326
(903) 737-0840

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D8231
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00EC95
BLUE CROSS BLUE SHIELD
TX
05
0329625-01
TX
01
4355846
AETNA
TX
Enumeration date
09/04/2006
Last updated
12/14/2010
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