Individual
MS. KIM A GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
57 ARAPAHO VILLAGE CTR, RICHARDSON, TX 75080-5001
(972) 235-7133
(972) 235-6968
Mailing address
57 ARAPAHO VILLAGE CTR, RICHARDSON, TX 75080-5001
(972) 235-7133
(972) 235-6968
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
1601-0161-7665-478
TX
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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