Individual
KELLY ERIN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6030B MACHEN RD, CENTREVILLE, VA 20121-2293
(703) 597-8500
Mailing address
6030B MACHEN RD, CENTREVILLE, VA 20121-2293
(703) 597-8500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001196771
VA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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