Individual
KYRON JERREL GIBSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1213 NE 2ND ST, CARRABELLE, FL 32322-5081
(850) 323-2000
Mailing address
1213 NE 2ND ST, CARRABELLE, FL 32322-5081
(850) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
395756
FL
Other
Enumeration date
01/15/2024
Last updated
01/23/2024
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