Individual
KASEY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
(256) 705-6477
Mailing address
2407 GASLIGHT PL SW APT 3, DECATUR, AL 35603-2033
(256) 642-9354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-123674
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
04/11/2018
Last updated
04/11/2018
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