Individual
KIMBERLY A GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-7954
Mailing address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-7954
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
71015106B
IN
363LA2200X
Adult Health Nurse Practitioner
71015106A
IN
Other
Enumeration date
11/05/2024
Last updated
01/16/2025
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