Individual
KEVIN DONALD GIBBONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 475-8282
Mailing address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0020983
OH
Other
Enumeration date
07/13/2021
Last updated
01/29/2024
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