Individual
KRISTINE M GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 OAKLAND DRIVE, KALAMAZOO, MI 49008-8012
(269) 337-6400
Mailing address
1000 OAKLAND DRIVE, KALAMAZOO, MI 49008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301063502
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3503353
—
MI
Enumeration date
01/25/2006
Last updated
01/07/2015
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