Individual
KYREN RENEE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
626 W 20TH ST, ALLIANCE, NE 69301-2234
(308) 762-2116
Mailing address
626 W 20TH ST, ALLIANCE, NE 69301-2234
(308) 762-2116
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NE
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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