Gibbs, Kelli

Gibbs, Kelli is an individual health care provider with primary practice located at 3075 N Reserve St Ste Q , Missoula MT 59808-1390. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gibbs, Kelli can be contacted via phone (406) 327-1750.

Contact Information

Primary practice address
3075 N Reserve St Ste Q Missoula MT 59808-1390
Phone: (406) 327-1750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1225279227
LBN Legal business name Gibbs, Kelli
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2009
Last updated Apr 11th, 2018 - about 8 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 1225279227 NPPES
Montana Other M011004293 MEDICARE PTAN -

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