Individual
BERT GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
3710 CENTRAL AVE STE 14, KEARNEY, NE 68847-8126
(308) 237-1102
Mailing address
3710 CENTRAL AVE STE 14, KEARNEY, NE 68847-8126
(308) 237-1102
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPSS-228
NE
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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