Individual
KYLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 5 MALONEY, PHILADELPHIA, PA 19104-4238
(215) 662-3797
Mailing address
3400 SPRUCE ST, 5 MALONEY, PHILADELPHIA, PA 19104-4238
(215) 662-3797
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD455017
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2011
Last updated
09/10/2019
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