Individual
WILLIAM JAMES GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD., ATTN PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
05-39557
KS
2080P0202X
Pediatric Cardiology Physician
Primary
2017015469
MO
208600000X
Surgery Physician
94-07138
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0539557
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2017015469
MO
Other
Enumeration date
05/29/2009
Last updated
03/23/2026
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