Individual
MRS. KATHLEEN MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
(734) 287-2943
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
(734) 287-2943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47041806
MI
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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