Gibbs, Kelley I

Gibbs, Kelley I is an individual health care provider with primary practice located at 6085 Heartland Dr Ste 205 , Zionsville IN 46077-4433. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Gibbs, Kelley I can be contacted via phone (317) 768-2200.

Contact Information

Primary practice address
6085 Heartland Dr Ste 205 Zionsville IN 46077-4433
Phone: (317) 768-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71000761A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 28123190A Indiana

Profile Details

NPI number 1124211073
LBN Legal business name Gibbs, Kelley I
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated Oct 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124211073 NPPES
Indiana MEDICAID 200410950

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