Individual
KELLY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1988 BIG CREEK RD, HINTON, WV 25951-9148
(304) 923-4180
Mailing address
1988 BIG CREEK RD, HINTON, WV 25951-9148
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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