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Individual

DR. KRISTINA JEANNE GIBBONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
430 MAIN, WELLSVILLE, KS 66092-0726
(785) 883-9355
(785) 883-4030
Mailing address
430 MAIN ST, PO BOX 726, WELLSVILLE, KS 66092-8878
(782) 883-9355
(785) 993-4030

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05260
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
660128001
MEDICARE PTAN
KS
01
KA1073002
MEDICARE PTAN
KS
Enumeration date
08/26/2008
Last updated
05/12/2020
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